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Contact Information

PHILIP KOSZYK, MD
1302 FRANKLIN AVE
#4800
NORMAL, IL61761
 Phone: 309-454-5900
 Fax: 309-454-2820
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for PHILIP KOSZYK · (Male)

NPI # 1669429379
Status Active
Credentials MD
Entity Individual
Enumeration date 05/28/2006
Last updated 09/07/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036074677
  • IL Medicaid 036074677
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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