Iwanicki, Michael

Iwanicki, Michael is an individual health care provider with primary practice located at 3815 Highland Ave Tower 2, Suite 107, Downers Grove IL 60515-1500. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Iwanicki, Michael can be contacted via phone (630) 275-7800.

Contact Information

Primary practice address
3815 Highland Ave Tower 2, Suite 107 Downers Grove IL 60515-1500
Phone: (630) 275-7800
Fax: (630) 810-9240
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036-105399 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 036-105399 Illinois

Profile Details

NPI number 1003845561
LBN Legal business name Iwanicki, Michael
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Dec 21st, 2021 - about 3 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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