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Individual

MR. GREGORY A WOJCIECHOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC DA BCO

Contact information

Practice address
7668 N ROTHWELL RD, STILLMAN VALLEY, IL 61084
(815) 645-2644
(815) 645-2644
Mailing address
7668 N ROTHWELL RD, STILLMAN VALLEY, IL 61084
(815) 645-2644
(815) 645-2644

Taxonomy

Speciality
Code
Description
License number
State
111NX0800X
Orthopedic Chiropractor
Primary
038-003665
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007182008
BCBS
IL
01
769853
BOILERMAKER
IL
Enumeration date
02/28/2006
Last updated
07/15/2010
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