SearchIllinois111N00000X

Matthew Antczak

NPI 1740324888 · on the registry since 2007 · sole proprietor

Practice

Address
669 E Calhoun St
Woodstock, IL 60098
Phone
(815) 334-8334

Registry record

Primary taxonomy
111N00000X
111N00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-04-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois