NPI 1003845561

Michael J Iwanicki, DO

Practitioner Surgery Physician Downers Grove, IL

Practice location

Address: 3815 Highland Ave Tower 2, Suite 107, Downers Grove, IL 60515-1500
Phone: (630) 275-7800
Fax: (630) 810-9240
Mailing address: 29373 Network Pl, Chicago, IL 60673-1293

Registered specialties (2)

Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208600000X Licence 036-105399 (IL)

Other Surgery providers in Illinois →

Trauma Surgery Physician

Allopathic & Osteopathic Physicians Taxonomy 2086S0127X Licence 036-105399 (IL)

Registry record

NPI: 1003845561
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2006
Record last updated: 25 Mar 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.