Organization
ALEXANDER W. KMICIKEWYCZ,MD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER WOLODYMYR KMICIKEWYCZ MD (OWNER)
(708) 923-9610
Entity
Organization
Contact information
Practice address
12622 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1428
(708) 923-9610
Mailing address
12622 S HARLEM AVE, PALOS HEIGHTS, IL 60463-1428
(708) 923-9610
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/20/2008
Last updated
02/20/2008
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