Individual
JOSEPH OGRODNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-3640
(708) 216-6222
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
036146329
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03621785
—
MS
Enumeration date
05/17/2010
Last updated
06/10/2024
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