Roman Orest Kozyckyj

NPI #1407998602 in Oak Lawn, Illinois

Provider Information

NPI Number
1407998602
Entity Type
Organization
Organization Name
Roman Orest Kozyckyj
Primary Specialty
Internal Medicine
Enumeration Date
Feb 13, 2007
Last Updated
Apr 1, 2008

Practice Location

Address
4700 W 95TH ST
Address 2
SUITE 206
ZIP Code
60453-2533
Phone
(708) 229-2240

Authorized Official

Name
SANDY GAMEZ
Title
BILLER
Phone
(708) 229-2240

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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