Nicholas Kaczkowski, PT, DPT, MS

NPI #1083219596 in Fox Lake, Illinois

Provider Information

NPI Number: 1083219596
Entity Type: Individual
Name: Nicholas Kaczkowski, PT, DPT, MS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: PT, DPT, MS
Enumeration Date: Dec 2, 2020
Last Updated: Dec 2, 2020

Practice Location

Address: 145 SAYTON RD STE F
City: Fox Lake
State: Illinois
ZIP Code: 60020-1773
Phone: (847) 629-5536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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