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Individual

GREGORY P WITKOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
036123834
IL
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
036-123834
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036123834
IL
01
206147
MEDICARE GROUP
IL
01
206147133
MEDICARE INDIVIDUAL
IL
01
P01179010
RR MEDICARE
IL
Enumeration date
05/17/2007
Last updated
02/19/2018
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