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Search › Illinois › 122300000X

Randal Kowalske, DMD

NPI 1669564290 · on the registry since 2006

Practice

Address
3100 N Dries Ln
Suite 301
Peoria, IL 61604
Phone
(309) 688-6646
Fax
(309) 688-6645
Organisation at this address
Neuropsychology Clinic Pc
Mindock Counseling And Consulting
Synergy Center For Integrative Health Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
122300000X
122300000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

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