Individual provider · Type 1 NPI

Matthew Dittrich Pikowski

Student in an Organized Health Care Education/Training Program · Chicago, IL

NPI number 1760947295 Active

Practice location

3262 W 110th St
Chicago, IL 60655-2737

Call (773) 490-7666 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed
Athletic Trainer 2255A2300XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1760947295

Matthew Dittrich Pikowski's National Provider Identifier is 1760947295, issued on Feb 8, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Chicago, IL. The record was last updated on Feb 8, 2019.