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Search › Illinois › 208600000X

Michael Iwanicki, D.O

NPI 1003845561 · on the registry since 2006

Practice

Address
3815 Highland Ave
Tower 2, Suite 107
Downers Grove, IL 60515
Phone
(630) 275-7800
Fax
(630) 810-9240
Organisation at this address
Walgreen Co
Advocate Healthcare
Advocate Health Care
Good Samaritan Hospital
Anesthesiologists, Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
127

Registry record

Primary taxonomy
208600000X
208600000X
Also registered as
2086S0127X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois