Individual
DR. MICHAEL LEONARD SIWEK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
8368 GRAND AVE, RIVER GROVE, IL 60171-1435
(708) 453-0500
(708) 453-0580
Mailing address
8 S 153 MADISON ST., BURR RIDGE, IL 60527-5553
(630) 321-1055
(708) 453-0580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
06/15/2006
Last updated
07/08/2007
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