Roman Orest Kozyckyj

LBN: Roman Orest Kozyckyj
Roman Orest Kozyckyj is an health care organization with primary practice located at 4700 W 95Th St Suite 206, Oak Lawn IL 60453-2533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Roman Orest Kozyckyj can be contacted via phone (708) 229-2240, or through Gamez, Sandy via phone (708) 229-2240.

Contact Information

Primary practice address
4700 W 95Th St Suite 206 Oak Lawn IL 60453-2533
Phone: (708) 229-2240
Fax: (708) 229-2494
Website:
Map and Directions
Authorized official contact:
Name: Gamez, Sandy
Phone: (708) 229-2240

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1407998602
LBN Legal business name Roman Orest Kozyckyj
DBA Doing business as
Authorized official Gamez, Sandy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2007
Last updated Apr 1st, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407998602 NPPES
Illinois Other 01625872 BLUE CROSS BLUE SHIELD

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