Kozlowski, Stephen Herbert
Kozlowski, Stephen Herbert is an individual health care provider with primary practice located at 360 Station Dr , Crystal Lake IL 60014-7978. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Kozlowski, Stephen Herbert can be contacted via phone (815) 338-6600.Contact Information
Primary practice address
360 Station Dr
Crystal Lake IL 60014-7978
Phone: (815) 338-6600
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 036-053309 | Illinois |
Profile Details
| NPI number | 1285749390 |
|---|---|
| LBN Legal business name | Kozlowski, Stephen Herbert |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1285749390 | NPPES |
| Illinois | Other | 0359580001 | DMERC |
| Illinois | Other | 01915167 | DMERC |
| Illinois | Other | 112318 | DMERC |
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