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Contact Information

JEFFREY M KSIAZEK, MD
25 N WINFIELD ROAD
#519
WINFIELD, IL60190
 Phone: 630-668-2180
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for JEFFREY M KSIAZEK · (Male)

NPI # 1679735104
Status Active
Credentials MD
Entity Individual
Enumeration date 06/26/2008
Last updated 03/06/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036132930
Hospital affiliation(s)
  • CENTRAL DUPAGE HOSPITAL - (Acute Care)
    25 NORTH WINFIELD ROAD
    WINFIELD, IL 60190
  • EDWARD HOSPITAL - (Acute Care)
    801 SOUTH WASHINGTON
    NAPERVILLE, IL 60540
  • LOYOLA UNIVERSITY MEDICAL CENTER - (Acute Care)
    2160 S 1ST AVENUE
    MAYWOOD, IL 60153
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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