Macken, Micheal Patrick

Macken, Micheal Patrick is an individual health care provider with primary practice located at 259 E Erie St Ste 1900 , Chicago IL 60611-3246. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Neurophysiology, which is considered as his primary health care specialty. Macken, Micheal Patrick can be contacted via phone (312) 695-7950.

Contact Information

Primary practice address
259 E Erie St Ste 1900 Chicago IL 60611-3246
Phone: (312) 695-7950
Fax: (312) 695-5747
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X 036102617 Illinois

Profile Details

NPI number 1336110550
LBN Legal business name Macken, Micheal Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Dec 8th, 2020 - about 4 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 1336110550 NPPES
Illinois MEDICAID 36102617

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