Provider Demographics
NPI:1386996064
Name:RYGULA KOZIOL, RENATA
Entity type:Individual
Prefix:
First Name:RENATA
Middle Name:
Last Name:RYGULA KOZIOL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 HUNTER DR
Mailing Address - Street 2:
Mailing Address - City:CAROL STREAM
Mailing Address - State:IL
Mailing Address - Zip Code:60188-3907
Mailing Address - Country:US
Mailing Address - Phone:630-440-7081
Mailing Address - Fax:
Practice Address - Street 1:442 HUNTER DR
Practice Address - Street 2:
Practice Address - City:CAROL STREAM
Practice Address - State:IL
Practice Address - Zip Code:60188-3907
Practice Address - Country:US
Practice Address - Phone:630-440-7081
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL171R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter