KONRAD RICHARD KOCZWARA

CHICAGO, IL
NPI1780129825
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: IL  070.022449)
Enumeration Date2016-12-28
Last Update Date2016-12-28
Business Address
-- KONRAD RICHARD KOCZWARA P.T.
1115 W ARMITAGE AVE
CHICAGO, IL 60614-4103
Phone number: 773-510-4312
Mailing Address
-- KONRAD RICHARD KOCZWARA P.T.
8036 W BERWYN AVE
CHICAGO, IL 60656-1502
Phone number: 773-510-4312