Individual
DR. KRZYSZTOF B SIEMIONOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12701 W 143RD ST, SUITE 200, HOMER GLEN, IL 60491-7715
(877) 694-7722
Mailing address
12701 W 143RD ST, SUITE 200, HOMER GLEN, IL 60491-7715
(877) 694-7722
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
036-123070
IL
Other
Enumeration date
05/12/2008
Last updated
03/29/2021
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