Michelson, Kelly Nicole

Michelson, Kelly Nicole is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2605. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, which is considered as her primary health care specialty. Michelson, Kelly Nicole can be contacted via phone (312) 227-6000.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2605
Phone: (312) 227-6000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 036-104599 Illinois

Profile Details

NPI number 1306806278
LBN Legal business name Michelson, Kelly Nicole
Credentials MD MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated May 1st, 2012 - about 12 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 1306806278 NPPES
Illinois MEDICAID 036104599

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