Kos, Antoni J

Kos, Antoni J is an individual health care provider with primary practice located at 3307 Logan Dr Ste B , Herrin IL 62948-3732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Kos, Antoni J can be contacted via phone (618) 997-3461.

Contact Information

Primary practice address
3307 Logan Dr Ste B Herrin IL 62948-3732
Phone: (618) 997-3461
Fax: (618) 993-6042
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 036109286 Illinois

Profile Details

NPI number 1548205222
LBN Legal business name Kos, Antoni J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 22nd, 2012 - about 13 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 1548205222 NPPES
Illinois MEDICAID 036109286
Illinois Other 7210895
Illinois Other 3932056
Illinois Other 779555
Illinois Other 130745

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