Provider Demographics
NPI:1629225974
Name:MUSZYNSKI, MICHAEL JOSEPH (MD MPH)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:JOSEPH
Last Name:MUSZYNSKI
Suffix:
Gender:M
Credentials:MD MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:307 S CHARLETON AVE
Mailing Address - Street 2:
Mailing Address - City:WILLOW SPRINGS
Mailing Address - State:IL
Mailing Address - Zip Code:60480-1329
Mailing Address - Country:US
Mailing Address - Phone:708-839-2321
Mailing Address - Fax:708-839-2321
Practice Address - Street 1:307 S CHARLETON AVE
Practice Address - Street 2:
Practice Address - City:WILLOW SPRINGS
Practice Address - State:IL
Practice Address - Zip Code:60480-1329
Practice Address - Country:US
Practice Address - Phone:708-839-2321
Practice Address - Fax:708-839-2321
Is Sole Proprietor?:No
Enumeration Date:2008-08-19
Last Update Date:2008-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036063518207R00000X
IL036-0635182083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine