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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1306806278 | NPPES |
Illinois | MEDICAID | 036104599 |
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