Koziol, Radoslaw

Koziol, Radoslaw is an sole proprietor health care provider with primary practice located at 5001 Madison St , Skokie IL 60077-2584. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Koziol, Radoslaw can be contacted via phone (847) 962-1923.

Contact Information

Primary practice address
5001 Madison St Skokie IL 60077-2584
Phone: (847) 962-1923
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 13752724 Illinois

Profile Details

NPI number 1629405063
LBN Legal business name Koziol, Radoslaw
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 30th, 2013
Last updated Sep 30th, 2013 - 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 1629405063 NPPES
Illinois Other 13752724 PRODUSER NUMBER

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