Doctor Name: | KAREN ANN KOWALCZYK |
NPI Number: | 1316189343 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APN, NP-C |
License Number: | 209.007542 |
Business Practice Address: | 431 W Liberty St Wauconda, IL - 600842452 |
Business Phone Number: | 8475262151 |
Business Fax Number: | 8475262017 |
Mailing Address: | 431 W Liberty St, WAUCONDA |
State: | IL |
Postal Code: | 600842452 |
Phone Number: | 8475262151 |
Fax Number: | 8475262017 |
NPI Enumeration Date: | 04/06/2009 |
NPI Last Update Date: | 04/06/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 209.007542 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |