Cichowicz, Wayne Richard

Cichowicz, Wayne Richard is an sole proprietor health care provider with primary practice located at 3602 S 61St Ave , Cicero IL 60804-4146. He recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Specialist. Dietary & Nutritional Service Providers / Dietitian, Registered is his primary health care specialty. Cichowicz, Wayne Richard can be contacted via phone (708) 656-7000.

Contact Information

Primary practice address
3602 S 61St Ave Cicero IL 60804-4146
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X Illinois
Other Service Providers / Specialist 174400000X Illinois

Profile Details

NPI number 1750465084
LBN Legal business name Cichowicz, Wayne Richard
Credentials D.N., L.D.N.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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