Michelson, Kenneth Alan

Michelson, Kenneth Alan is an individual health care provider with primary practice located at 225 E Chicago Ave , Chicago IL 60611-2991. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is his primary health care specialty. Michelson, Kenneth Alan can be contacted via phone (312) 227-4000.

Contact Information

Primary practice address
225 E Chicago Ave Chicago IL 60611-2991
Phone: (312) 227-4000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 250030 Massachusetts
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 250030 Massachusetts

Profile Details

NPI number 1518193309
LBN Legal business name Michelson, Kenneth Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2009
Last updated Jun 13th, 2023 - about last year

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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