Conrad, Michael J

Conrad, Michael J is an individual health care provider with primary practice located at 1221 N Highland Ave , Aurora IL 60506-1404. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Conrad, Michael J can be contacted via phone (630) 859-8700.

Contact Information

Primary practice address
1221 N Highland Ave Aurora IL 60506-1404
Phone: (630) 859-8700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 35055629 Ohio
Allopathic & Osteopathic Physicians / Urology 208800000X 036066056 Illinois

Profile Details

NPI number 1760557904
LBN Legal business name Conrad, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2006
Last updated Jul 27th, 2011 - about 13 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 1760557904 NPPES
Illinois MEDICAID 036066056
Illinois Other 04515143

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