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Matthew Hagenswiecicki, DO
Student in an Organized Health Care Education/Training Program in La Grange, Illinois
NPI 1730747924

Matthew Hagenswiecicki is a Student in an Organized Health Care Education/Training Program based in La Grange, IL. Matthew Hagenswiecicki practices in La Grange, IL and has the professional credentials of DO. The NPI Number for Matthew Hagenswiecicki is 1730747924 and holds a License No. 125074101 (Illinois).

The current practice location address for Matthew Hagenswiecicki is 1325 Community Memorial Dr, La Grange, IL and can be reached out via phone at 708-245-8900 and via fax at 708-245-5721.

Location: 1325 Community Memorial Dr, La Grange, IL, 60525-2659
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730747924
Provider Name
Matthew Hagenswiecicki
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1325 Community Memorial Dr, La Grange, IL, 60525-2659
Phone Number
708-245-8900
Fax Number
708-245-5721
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1325 Community Memorial Dr
City
La Grange
State
Illinois
Zip
60525-2659
Phone Number
708-245-8900
Fax Number
708-245-5721
person
Provider Business Mailing Address Details
Address
1325 Community Memorial Dr
City
La Grange
State
Illinois
Zip
60525-2659
Phone Number
708-245-8900
Fax Number
708-245-5721
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
125074101 (Illinois)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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