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MATTHEW HAGENSWIECICKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
1010 LAKE ST STE 301, OAK PARK, IL 60301-1133
(708) 524-8600
(708) 245-5721
Mailing address
1010 LAKE ST STE 301, OAK PARK, IL 60301-1133
(708) 524-8600
(708) 524-8147

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036159328
IL

Other

Enumeration date
06/03/2019
Last updated
04/23/2024
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