Most Relevant Information
Provider Data
| NPI Number: | 1003008640 |
| Provider Name: | MATTHEW M KOSCHNITZKY ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/17/2007 |
| Last Updated: | 08/17/2007 |
Provider Practice Location
550 W OGDEN AVE
HINSDALE
IL
605213186
Practice Location Phone/Fax
| Phone: | 6303236116 |
| Fax: |
Provider Mailing Location
2332 NICHOLS RD
#E
ARLINGTON HEIGHTS
IL
600041121
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |