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:
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Health care specialties

SpecialtyCodeLicense #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 15 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 1366422321 NPPES
Illinois Other 01623610 BLUE CROSS AND BLUE SHIELD
Illinois MEDICAID 036111702 BLUE CROSS AND BLUE SHIELD

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