Individual
DR. BRIAN EDMUND WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2111 OGDEN AVE, AURORA, IL 60504-7597
(630) 978-3800
Mailing address
2111 OGDEN AVE, AURORA, IL 60504-7597
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036163012
IL
207X00000X
Orthopaedic Surgery Physician
106196
MN
207X00000X
Orthopaedic Surgery Physician
5101017411
MI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
036163012
IL
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
518269
WI
Other
Enumeration date
06/28/2007
Last updated
12/06/2022
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