| NPI | 1871718551 |
|---|---|
| Doing Business As | KISHWAUKEE MEDICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | JOHN E KLOSOWSKI Administrator 815-895-9144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2008-02-22 |