Katarzyna B Iwanicki, P.A.

NPI #1760532790 in Mount Prospect, Illinois

Provider Information

NPI Number: 1760532790
Entity Type: Individual
Name: Katarzyna B Iwanicki, P.A.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: P.A.
Enumeration Date: Jan 11, 2007
Last Updated: Sep 3, 2021

Practice Location

Address: 250 W KENSINGTON RD STE 3B
City: Mount Prospect
State: Illinois
ZIP Code: 60056-1292
Phone: (622) 652-2887

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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