Individual provider · NPI-1
Dr. Mateusz Jan Cichowicz, D.C
Chiropractor, Orthopedic · Hickory Hills, IL
NPI number1811430481
StatusActive
Last updated in NPPESNov 29, 2016
Details
- NPI
- 1811430481
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mateusz Jan Cichowicz
- Credential
- D.C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 29, 2016
- Last updated
- Nov 29, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NX0800X | Chiropractor, Orthopedic | 038.013027 | IL | Yes |
| 111NR0400X | Chiropractor, Rehabilitation | 038.013027 | IL |
Practice location
8612 S 85th CtHickory Hills, IL 60457-1012
Phone 708-407-0544
Mailing address
8612 S 85th CtHickory Hills, IL 60457-1012
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