| Joanna Kolanowska, D.d.s.,ltd. | |
|
1148 E Washington St Grayslake IL 60030-7960 | |
| (847) 223-8901 | |
| (847) 223-8968 |
| Full Name | Joanna Kolanowska, D.d.s.,ltd. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1148 E Washington St, Grayslake, Illinois |
| Authorized Official Name and Position | Joanna Zdzislawa Kolanowska (PRESIDENT) |
| Authorized Official Contact | 8472238901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Joanna Kolanowska, D.d.s.,ltd. 1148 E Washington St Grayslake IL 60030-7960 Ph: (847) 223-8901 | Joanna Kolanowska, D.d.s.,ltd. 1148 E Washington St Grayslake IL 60030-7960 Ph: (847) 223-8901 |
| NPI Number | 1790972677 |
|---|---|
| Provider Enumeration Date | 09/25/2007 |
| Last Update Date | 09/25/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790972677 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (Illinois) | Primary |
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