Mariola Kaczkowski

Nurse Practitioner · Park Ridge, IL

Individual Active NPI

NPI number 1861796724

Practice location

1875 Dempster St
Suite 180
Park Ridge, IL 60068-1186
Phone
(847) 825-0800

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NPI record

NPI
1861796724
Entity type
Individual (Type 1)
Enumeration date
January 6, 2011
Last updated
January 6, 2011
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 209008582 IL

Mailing address

PO Box 2056
Northbrook, IL 60065-2056

About Mariola Kaczkowski

Mariola Kaczkowski is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1875 Dempster St, Suite 180, Park Ridge, IL 60068-1186. The NPI number 1861796724 was assigned on January 6, 2011 and the record was last updated on January 6, 2011.

Mariola Kaczkowski lists a license in the registry: #209008582 (IL) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Mariola Kaczkowski?

The NPI number is 1861796724.

What is the phone number of Mariola Kaczkowski?

The phone number listed for the practice location is (847) 825-0800.

Where is Mariola Kaczkowski located?

1875 Dempster St, Suite 180, Park Ridge, IL 60068-1186.

What is the taxonomy code for Mariola Kaczkowski?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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