Chin, Michael J.

Chin, Michael J. is an individual health care provider with primary practice located at 111 N Wabash Avenue Suite 1919, Chicago IL 60602-2002. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Chin, Michael J. can be contacted via phone (312) 977-1179.

Contact Information

Primary practice address
111 N Wabash Avenue Suite 1919 Chicago IL 60602-2002
Phone: (312) 977-1179
Fax: (312) 977-0425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016005074 Illinois

Profile Details

NPI number 1407924921
LBN Legal business name Chin, Michael J.
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Aug 21st, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407924921 NPPES
Illinois MEDICAID 016005074
Illinois Other 01633748

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