Individual
DR. RAYMOND LOUIS WIETRZYKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5739 N MCVICKER AVE, CHICAGO, IL 60646-6104
(773) 930-3779
Mailing address
5739 N MCVICKER AVE, CHICAGO, IL 60646-6104
(773) 930-3779
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036.045785
IL
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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