| Mr Mariusz Tomasz Koziol I, MD | |
|
810 Biesterfield Rd, Suite 306 - Wimmer Building, Elk Grove Village, IL 60007-3378 | |
| (847) 357-1144 | |
| (847) 357-9449 |
| Full Name | Mr Mariusz Tomasz Koziol I |
|---|---|
| Gender | Male |
| Speciality | Obstetrics/gynecology |
| Experience | 28 Years |
| Location | 810 Biesterfield Rd, Elk Grove Village, Illinois |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376752634 | NPI | - | NPPES |
| 036118758-1 | Medicaid | IL | |
| 11790234 | Other | CAQH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 036118758 (Illinois) | Primary |
| 207V00000X | Obstetrics & Gynecology | 036.118758 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Alexian Brothers Medical Center 1 | Elk grove village, IL | Hospital |
| Entity Name | Bonaventure Medical Foundation Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1588775647 PECOS PAC ID: 7517863178 Enrollment ID: O20031212000374 |
| Entity Name | Midwest Ob/gyn & Midwifery |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790020006 PECOS PAC ID: 2769605401 Enrollment ID: O20140527000641 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Mariusz Tomasz Koziol I, MD 810 Biesterfield Rd Ste 306, Elk Grove Village, IL 60007-3311 Ph: (847) 357-1144 | Mr Mariusz Tomasz Koziol I, MD 810 Biesterfield Rd, Suite 306 - Wimmer Building, Elk Grove Village, IL 60007-3378 Ph: (847) 357-1144 |
Daniel R Winkelman, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Road, Suite #106 Wimmer Medical Plaza, Elk Grove Village, IL 60007 Phone: 847-981-8866 Fax: 847-981-5580 | |
Dr. Sheri B Merchant, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd Ste 2010, Elk Grove Village, IL 60007 Phone: 847-981-6500 | |
Dr. Jessica Helen Shaker, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Rd, Elk Grove Village, IL 60007 Phone: 847-981-6500 | |
Gary L Forcier, MD Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 800 Biesterfield Road, #106 Wimmer Medical Plaza, Elk Grove Village, IL 60007 Phone: 847-981-8866 Fax: 847-981-5580 | |
Stephanie A Munns, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd Ste 302, Elk Grove Village, IL 60007 Phone: 847-472-1992 | |
Yevgeniya Sorokin, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 800 Biesterfield Rd, Ste 2010, Elk Grove Village, IL 60007 Phone: 847-981-6500 |