Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Philip Sebastian Maciukiewicz, MD

Individual provider Anesthesiology Physician · NPI 1619439809

Mr. Philip Sebastian Maciukiewicz, MD is an Anesthesiology in Maywood, Illinois. Qualified in 2024, 2 years ago. Practices with Otero County Hospital Association, a 241-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
2
Licensed in
IL
In the registry since
2019
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2160 S First Ave Bldg 103 Rm 3107
Maywood, IL 60153
Phone: (708) 216-9169
Fax: (708) 216-1249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X · Licence 036.158461 (IL)
Anesthesiology Physician Taxonomy 207L00000X · Licence 125.074702 (IL)

Record details

NPI number1619439809
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 5, 2019
Last updated in NPPESJune 2, 2023
Certification dateJune 2, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Otero County Hospital Association — 241 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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