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Search › Illinois › 2085R0204X

Jan Namyslowski, M.D

NPI 1992755870 · on the registry since 2006

Practice

Address
114 W Stratford Dr Ste E
Peoria, IL 61614
Phone
(309) 740-4272
Fax
(309) 740-7479
Organisation at this address
Galva Family Dentistry, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
2085R0204X
2085R0204X
Also registered as
2085R0202X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-11-13

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