Kulisz, Michael

Kulisz, Michael is an individual health care provider with primary practice located at 626 Bethany Rd , Dekalb IL 60115-4939. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kulisz, Michael can be contacted via phone (815) 756-1521.

Contact Information

Primary practice address
626 Bethany Rd Dekalb IL 60115-4939
Phone: (815) 756-1521
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois

Profile Details

NPI number 1760536700
LBN Legal business name Kulisz, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2007
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760536700 NPPES
Illinois Other 098603 HEALTH ALLIANCE

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