Koziol, Radoslaw
Koziol, Radoslaw is an sole proprietor health care provider with primary practice located at 5001 Madison St , Skokie IL 60077-2584. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Koziol, Radoslaw can be contacted via phone (847) 962-1923.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 13752724 | Illinois |
Profile Details
NPI number | 1629405063 |
---|---|
LBN Legal business name | Koziol, Radoslaw |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 30th, 2013 |
Last updated | Sep 30th, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1629405063 | NPPES |
Illinois | Other | 13752724 | PRODUSER NUMBER |
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