Organization
TRAUMA AND SURGICAL SPECIALISTS OF DUPAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL J. IWANICKI D.O. (OWNER)
(603) 275-3892
Entity
Organization
Contact information
Practice address
3815 HIGHLAND AVE, TOWER 2, SUITE 107, DOWNERS GROVE, IL 60515-1500
(630) 275-7800
(630) 810-9240
Mailing address
3815 HIGHLAND AVE, TOWER 2, SUITE 107, DOWNERS GROVE, IL 60515-1500
(630) 275-7800
(630) 810-9240
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0127X
Trauma Surgery Physician
—
—
Other
Enumeration date
01/17/2007
Last updated
10/14/2011
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