SearchIllinoisDentist

James Kowalczyk

NPI 1093973935 · on the registry since 2008 · sole proprietor

Practice

Address
1016 N Lake Shore Dr
Round Lake Beach, IL 60073
Phone
(847) 546-4725
Fax
(847) 546-4850

Registry record

Primary taxonomy
Dentist
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-05-28

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois