John Oscar Kowalski, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

036-075588 Issued in IL

Practice address

5669 W. 95TH St.
Oak Lawn, IL 60453-6501

Phone

(708) 499-4400

Fax

(708) 499-4407

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1396711875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5669 W. 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536501",
            "telephone_number": "708-499-4400",
            "fax_number": "708-499-4407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5669 W. 95TH ST.",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536501",
            "telephone_number": "708-499-4400",
            "fax_number": "708-499-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "JOHN",
        "middle_name": "OSCAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-075588",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-075588",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "31602848",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Adam Donovan Kovac, M.D.
• Barbara Kowalczyk, APRN
• Joseph A Kowalczyk, MD
• Karen Ann Kowalesik, DMD
• Emily Nicole Kowalski, MS
• Vicki W Kowalsky, MSN PSYD
• Michael A Kozek, DDS
• Rita Koziol, BCBA
• Emma Krabbenhoft
• Carly Ann Krajci, DNP

• Pediatrics Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Pediatrics Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.