Individual provider · Type 1 NPI

Michael J. Iwanicki, DO

Surgery Physician · Downers Grove, IL

NPI number 1003845561 Active

Practice location

3815 Highland Ave, Tower 2, Suite 107
Downers Grove, IL 60515-1500

Call (630) 275-7800 Map

Fax (630) 810-9240

Mailing address

29373 Network Pl
Chicago, IL 60673-1293

Specialties and licenses

TaxonomyCodeLicense
Surgery Physician Primary 208600000X036-105399 (IL)
Trauma Surgery Physician 2086S0127X036-105399 (IL)

Surgery Physician: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasin…

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About NPI 1003845561

Michael J. Iwanicki, DO's National Provider Identifier is 1003845561, issued on Jun 30, 2006. The primary taxonomy on file is Surgery Physician (208600000X), and the practice location is in Downers Grove, IL. The record was last updated on Mar 25, 2025.