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Individual

DR. MARY GAIL H KWIECINSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.M.

Contact information

Practice address
281 N FIORE PKWY, VERNON HILLS, IL 60061-3203
(847) 421-7477
Mailing address
281 N FIORE PKWY, VERNON HILLS, IL 60061-3203
(847) 421-7477

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016004013
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016004013
IL
01
480006294
MEDICARE RAILROAD
IL
01
P00788908
MEDICARE RAILROAD
IL
01
P00938475
MEDICARE RAILROAD
IL
Enumeration date
09/14/2006
Last updated
01/21/2026
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