Kozeny, Gregory
Kozeny, Gregory is an individual health care provider with primary practice located at 25 N Winfield Rd Ste 414 , Winfield IL 60190-1379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Kozeny, Gregory can be contacted via phone (630) 690-1220.Contact Information
Primary practice address
25 N Winfield Rd Ste 414
Winfield IL 60190-1379
Phone: (630) 690-1220
Fax: (630) 690-5323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 036059588 | Illinois |
Profile Details
| NPI number | 1861499550 |
|---|---|
| LBN Legal business name | Kozeny, Gregory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Oct 30th, 2020 - about 6 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 | 1861499550 | NPPES |
| Illinois | Other | 1616108 | BCBS |
| Illinois | MEDICAID | 036059588 | BCBS |
| Illinois | Other | 110059948 | BCBS |
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