Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILIP SEBASTIAN MACIUKIEWICZ, M.D.
DeactivatedMR. PHILIP SEBASTIAN MACIUKIEWICZ, M.D. is a Vascular Surgery healthcare provider located in MAYWOOD, Illinois. NPI 1619439809 is deactivated in the NPPES registry. Verify at CMS.
Vascular Surgery · MAYWOOD, IL
This NPI has been deactivated.
The record was deactivated on November 7, 2019.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1619439809
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 5, 2019 (0.59016393442623 yrs)
- Last Updated
- Jun 2, 2023
- Deactivated
- Nov 7, 2019
- Licenses
-
125.074702 (IL)036.158461 (IL)
Practice Information
- Address
-
2160 S FIRST AVENUEBUILDING 103 ROOM 3107MAYWOOD, IL, 60153Browse IL providers · Browse ZIP 60153
- Phone
- 7082169169
- Fax
- 7082161249
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.