Roman O Kozyckyj
Internist Hospice and Palliative Medicine
4700 W 95th St Suite 206
Oak Lawn
, Illinois 60453-2533
Roman O Kozyckyj
Internist Hospice and Palliative Medicine
4700 W 95th St Suite 206
Oak Lawn
, Illinois 60453-2533
(312) 718-1139
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About
Features
Specialties
- Internist
- Hospice and Palliative Medicine
Languages spoken
- English
Location
First Address
- Roman O Kozyckyj
- 9007 S Bell Ave
- Chicago, IL
- Zip : 60643-6419
- Phone : (312) 718-1139
Second Address
- Roman O Kozyckyj
- 4700 W 95th St Suite 206
- Oak Lawn, IL
- Zip : 60453-2533
- Fax : (708) 229-2494
- Phone : (708) 229-2240
Reviews
FAQs
Where did Roman O Kozyckyj attend graduate school?
Where did Roman O Kozyckyj do his residency?
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What type of doctor is Roman O Kozyckyj
In what state does Roman O Kozyckyj practice in?
Where is Roman O Kozyckyj ’s practice located?
What is Roman O Kozyckyj ’s gender?
Is Roman O Kozyckyj a sole practitioner?
Is Roman O Kozyckyj accepting new patients?
What languages does Roman O Kozyckyj speak?
Does Roman O Kozyckyj accept insurance?
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Does Roman O Kozyckyj have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036-063880 | IL |
| N | 111NI0900X | Internist | 036-063880 | IL |
| Y | 207RH0002X | Hospice and Palliative Medicine | 036.063880 | IL |
National Provider Identifier
| NPI | 1184603961 |
|---|---|
| Provider Name | Roman O Kozyckyj |
| First Address | Chicago, IL 60643-6419 |
| Second Address | Oak Lawn, IL 60453-2533 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/01/2006 |
| Last Update Date | 09/04/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 01625872 | BC BC (01) | |
| 036063880 | (05) | IL |
| D14807 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.