Wrzosek, Mariusz Kajetan

Wrzosek, Mariusz Kajetan is an individual health care provider with primary practice located at 2160 S 1St Ave , Maywood IL 60153-3328. He recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Oral and Maxillofacial Surgery, Allopathic & Osteopathic Physicians / Surgery. Dental Providers / Oral and Maxillofacial Surgery is his primary health care specialty. Wrzosek, Mariusz Kajetan can be contacted via phone (617) 240-6890.

Contact Information

Primary practice address
2160 S 1St Ave Maywood IL 60153-3328
Phone: (617) 240-6890
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019026949 Illinois
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 019026949 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 251775 Massachusetts
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 036138796 Illinois

Profile Details

NPI number 1144274853
LBN Legal business name Wrzosek, Mariusz Kajetan
Credentials D.M.D., M.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Dec 7th, 2023 - about last year

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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