DR. MICHAEL IWANICKI (NPI# 1003845561) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003845561 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL IWANICKI |
| Credential | D.O. |
| Practice Address |
3815 Highland Ave Tower 2, Suite 107 Downers Grove IL 60515-1500 |
| Mailing Address |
561 Terrace Ln South Elgin IL 60177-2254 |
| Practice Telephone | 6302757800 |
| Practice Fax Number | 6308109240 |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians | |
| X | 2086S0127X |
Surgery Specialization: Trauma Surgery |
IL | Allopathic & Osteopathic Physicians |
| Street Address |
3815 HIGHLAND AVE TOWER 2, SUITE 107 |
| City | DOWNERS GROVE |
| State | IL |
| Zip Code | 60515-1500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093715815 | Marc R. Spiller | Emergency Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2005-07-22 |
| 1053942318 | Mary Sue Dailey | Clinical Nurse Specialist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2020-01-27 |
| 1356902613 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2019-06-26 |
| 1568921039 | Michelle Bankhead | Specialist/Technologist, Other | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2019-03-14 |
| 1891253738 | Cherida Walker | Specialist/Technologist, Other | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2019-03-11 |
| 1003381955 | Stephanie Lallanilla | Physician Assistant | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-10-08 |
| 1669955936 | Olivia Schultz | Physician Assistant | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-09-12 |
| 1043705130 | Jessica Lynn Jandak | Clinical Neuropsychologist | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-06-29 |
| 1255821930 | Margaret K Nolte | Internal Medicine | 3815 Highland Ave, Downers Grove, IL 60515-1500 | 2018-05-17 |
| 1336639269 | Brittney Coleman | Nurse Practitioner | 3815 Highland Ave, Downers Grove, IL 60515-1590 | 2018-05-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594906 | Everyday Empowered Clinical Services, Ltd. | Community/Behavioral Health | 5117 Main St, Suite #7, Downers Grove, IL 60515 | 2020-10-02 |
| 1588122568 | Jennifer Solis-english | Family Medicine | Physician Office Center, Tower 2, 3825 Highland Avenue Suite 306, Downers Grove, IL 60515 | 2019-03-07 |
| 1679039358 | Remedi Seniorcare of Chicago, LLC | Pharmacy | 3600 Lacey Road, Suite 500, Downers Grove, IL 60515 | 2019-02-18 |
| 1639651094 | Ann Marie Olson | Occupational Therapy Assistant | 3450 Saratoga Ave., Downers Grove, IL 60515 | 2018-09-02 |
| 1598242802 | Angela Gathings | Nurse Practitioner | 1020 31st St, Downers Grove, IL 60515 | 2018-07-20 |
| 1013408194 | Amer Shammaa | Dentist | 1008 Braemoor Dr, Downers Grove, IL 60515 | 2018-05-23 |
| 1174020994 | Leslie A Kula-leitner | Social Worker | Alder Grove Counseling, 4923 Main Street, Downers Grove, IL 60515 | 2018-04-09 |
| 1588176390 | Tammy Marie Tunac | Counselor | 2001 Butterfield Road, Suite 320, Downers Grove, IL 60515 | 2017-11-02 |
| 1366976466 | Giannasi Mental Health Counselors | Counselor | 921 Curtiss Street, Downers Grove, IL 60515 | 2017-04-14 |
| 1194258079 | Alyssa Stylski | Dentist | 2001 Butterfield Rd Ste 140, Downers Grove, IL 60515 | 2017-04-06 |
| Find all providers in zip 60515 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| 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 increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942640693 | Obi T Okoye | Surgery | 111 41st St, Downers Grove, IL 60515-2338 | 2013-06-26 |
| 1770761298 | Chenni Chetty Indiraraj | Surgery | 1430 Concord Ct, Downers Grove, IL 60516-3249 | 2008-02-06 |
| 1417964180 | Richard W Brinkman | Surgery | 1101 31st St Ste 170, Downers Grove, IL 60515-5581 | 2006-08-02 |
| 1841253556 | Barry Fussell Oswalt | Surgery | 1901 Butterfield Rd, Ste 220, Downers Grove, IL 60515-7915 | 2006-04-11 |
| 1235100397 | Srinivas Kolla | Surgery | 2650 Warrenville Rd, Suite 280, Downers Grove, IL 60515-1748 | 2006-01-27 |
| 1316401037 | Advocate Health Care Network | Surgery | 4900 Main St, Downers Grove, IL 60515-3611 | 2019-01-27 |
| 1609165745 | Paul Geoffrey Vana | Surgery | 3825 Highland Ave Ste 303, Downers Grove, IL 60515-1562 | 2011-03-29 |
| 1548586282 | Leah Carey Tatebe | Surgery | 3825 Highland Ave, Tower 2 - Suite 103, Downers Grove, IL 60515-1552 | 2010-04-19 |
| 1639335029 | Grace Huei Chang | Surgery | 3825 Highland Ave, Tower 2, Suite 107, Downers Grove, IL 60515-1552 | 2008-08-05 |
| 1710152343 | Allen T. Mikhail | Surgery | 2801 Finley Rd, Suite 220, Downers Grove, IL 60515-1038 | 2008-04-24 |
| Find all providers in DOWNERS GROVE | ||||
| City | DOWNERS GROVE |
| Zip Code | 60515 |
Please comment or provide details below to improve the information on DR. MICHAEL IWANICKI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.