Michelotti, Joseph N

Michelotti, Joseph N is an sole proprietor health care provider with primary practice located at 350 S 8Th St , West Dundee IL 60118-2248. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Michelotti, Joseph N can be contacted via phone (847) 776-1200.

Contact Information

Primary practice address
350 S 8Th St West Dundee IL 60118-2248
Fax: (847) 776-9400
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 03655132 Illinois

Profile Details

NPI number 1639163173
LBN Legal business name Michelotti, Joseph N
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2005
Last updated May 16th, 2011 - 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 1639163173 NPPES
Illinois MEDICAID 036055132

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