Radoslaw Koziol, is a
General Practice physician based in Skokie, Illinois. Radoslaw Koziol is licensed to practice in Illinois (license number 13752724) and his current practice location is 5001 Madison St, Skokie, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 962-1923.
NPI number for Radoslaw Koziol is 1629405063 and his current mailing address is 5001 Madison St, Skokie, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629405063.
Physician's Profile
Full Name | Radoslaw Koziol |
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Gender | Male |
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Speciality | General Practice |
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Location | 5001 Madison St, Skokie, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1629405063
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 09/30/2013
Medical Identifiers
Medical identifiers for Radoslaw Koziol such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1629405063 | NPI | - | NPPES |
13752724 | Other | IL | PRODUSER NUMBER |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208D00000X | General Practice | 13752724 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Radoslaw Koziol is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Radoslaw Koziol, 5001 Madison St, Skokie, IL 60077-2584 Ph: (847) 962-1923 | Radoslaw Koziol, 5001 Madison St, Skokie, IL 60077-2584 Ph: (847) 962-1923 |
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