institution
Drs. Mattana And Kwiecinski
Foot & Ankle Surgery Podiatrist in Vernon Hills, Illinois
NPI 1104998780

Drs. Mattana And Kwiecinski is a Foot & Ankle Surgery Podiatrist based in Vernon Hills, IL and is specialized in Foot & Ankle Surgery. Drs. Mattana And Kwiecinski practices in Vernon Hills, IL. The NPI Number for Drs. Mattana And Kwiecinski is 1104998780 and holds a License No. 016004013 (Illinois).

The current practice location address for Drs. Mattana And Kwiecinski is 250 Center Dr, Vernon Hills, IL and can be reached out via phone at 847-816-4711 and via fax at 847-247-1158.

Location: 250 Center Dr, Vernon Hills, IL, 60061-1582
institution
Provider Profile Details
NPI Number
1104998780
Provider Name
Drs. Mattana And Kwiecinski
Credential
Provider Entity Type
Organization
Address
250 Center Dr, Vernon Hills, IL, 60061-1582
Phone Number
847-816-4711
Fax Number
847-247-1158
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
DP7858 01 IL RAILROAD MEDICARE
0004932354 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
250 Center Dr
City
State
Zip
60061-1582
Phone Number
847-816-4711
Fax Number
847-247-1158
person
Provider Business Mailing Address Details
Address
250 Center Dr
City
State
Zip
60061-1582
Phone Number
847-816-4711
Fax Number
847-247-1158
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
016004013 ()
Definition
Definition to come...
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