Jeffrey Michael Ksiazek M.D.

NPI 1679735104 - Otolaryngology - 207Y00000X

NPI Details
NPI 1679735104
Gender Male
Enumeration Date 06/26/2008
Last Updated 03/06/2015
Entity Type Individual
Active Over 8 years ago
Practice Location
25 N WINFIELD ROAD
#519
WINFIELD IL, 60190, US
Phone (630) 668-2180
Fax
Business Location
25 N WINFIELD ROAD #519
WINFIELD IL, 60190-1222, US
Phone (630) 668-2180
Fax
Toxanomy
Taxonomy Code 207Y00000X
License State Illinois
License Number 036132930
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According to our database, Dr. Jeffrey Michael Ksiazek M.D. NPI is 1679735104, taxonomy code is 207Y00000X and license number is 036132930, license state is located at Illinois. Jeffrey Michael Ksiazek M.D. physically located at 25 N Winfield Road, Winfield IL, 60190. NPI Number Jeffrey Michael Ksiazek M.D. has the Individual type.

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1679735104 NPI number is provided on an as is basis without warranty of any kind. 1679735104 is maintained by the National Plan & Provider Enumeration System. The contents of Jeffrey Michael Ksiazek M.D. are for informational purposes only.