Corcoran, Michael John
Corcoran, Michael John is an individual health care provider with primary practice located at 400 South Kennedy Dr , Bradley IL 60915. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Corcoran, Michael John can be contacted via phone (815) 928-8050.Contact Information
Primary practice address
400 South Kennedy Dr
Bradley IL 60915
Phone: (815) 928-8050
Fax: (800) 505-2218
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 036-95825 | Illinois |
Profile Details
| NPI number | 1578571386 |
|---|---|
| LBN Legal business name | Corcoran, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Apr 6th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578571386 | NPPES |
| Illinois | MEDICAID | 036-95825 |
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