Thomas Kaczynski

NPI #1790117299 in Johnsburg, Illinois

Provider Information

NPI Number: 1790117299
Entity Type: Individual
Name: Thomas Kaczynski
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Enumeration Date: Aug 6, 2013
Last Updated: Aug 6, 2013

Practice Location

Address: 2964 COMMERCE DR
City: Johnsburg
State: Illinois
ZIP Code: 60051-5409
Phone: (815) 363-0103

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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