Kwiatkowski, Madeline Carol

Kwiatkowski, Madeline Carol is an individual health care provider with primary practice located at 2900 Foxfield Rd , St Charles IL 60174-5799. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Kwiatkowski, Madeline Carol can be contacted via phone (630) 377-7900.

Contact Information

Primary practice address
2900 Foxfield Rd St Charles IL 60174-5799
Phone: (630) 377-7900
Fax: (630) 377-8007
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036071187 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009031 Michigan

Profile Details

NPI number 1245319979
LBN Legal business name Kwiatkowski, Madeline Carol
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2006
Last updated Apr 22nd, 2013 - about 12 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 1245319979 NPPES
Illinois Other 920540033 MEDICARE PTAN (INDIVIDUAL)
Illinois MEDICAID 036071187 MEDICARE PTAN (INDIVIDUAL)

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