Individual
DR. MICHAEL A. WILCZYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 INGALLS DR, HARVEY, IL 60426-3558
(708) 331-7800
(708) 339-0695
Mailing address
PO BOX 1886, HARVEY, IL 60426-7886
(708) 331-7800
(708) 339-0695
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036075394
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036075394
—
IL
Enumeration date
04/10/2006
Last updated
01/12/2023
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