Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | 019027290 | IL |
NPI | 1114128865 |
---|---|
Provider Name | Dr. Aaron Robert Cwik |
First Address | Gurnee, IL 60031-3399 |
Second Address | Gurnee, IL 60031-3399 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2007 |
Last Update Date | 22/02/2019 |