Kassen, Michelle A.
Kassen, Michelle A. is an individual health care provider with primary practice located at 1111 Superior St Suite 101, Melrose Park IL 60160-4138. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kassen, Michelle A. can be contacted via phone (708) 344-2161.Contact Information
Primary practice address
1111 Superior St Suite 101
Melrose Park IL 60160-4138
Phone: (708) 344-2161
Fax: (708) 344-3156
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036111702 | Illinois |
Profile Details
NPI number | 1366422321 |
---|---|
LBN Legal business name | Kassen, Michelle A. |
Credentials | M.D., MPH |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 18th, 2006 |
Last updated | Mar 6th, 2009 - about 16 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 | 1366422321 | NPPES |
Illinois | Other | 01623610 | BLUE CROSS AND BLUE SHIELD |
Illinois | MEDICAID | 036111702 | BLUE CROSS AND BLUE SHIELD |
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