Michigan Avenue Internists

LBN: Michigan Avenue Internists
Michigan Avenue Internists is an health care organization with primary practice located at 200 S Michigan Ave Suite 805, Chicago IL 60604-2402. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Dermatology is the primary health care specialty. Michigan Avenue Internists can be contacted via phone (312) 922-3815, or through Ewert, Greg Donald via phone (312) 922-3815.

Contact Information

Primary practice address
200 S Michigan Ave Suite 805 Chicago IL 60604-2402
Phone: (312) 922-3815
Fax: (312) 922-3789
Website:
Map and Directions
Authorized official contact:
Name: Ewert, Greg Donald Doctor of Medicine (MD)
Phone: (312) 922-3815

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1922066588
LBN Legal business name Michigan Avenue Internists
DBA Doing business as
Authorized official Ewert, Greg Donald Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2006
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922066588 NPPES
Illinois Other 01605414 BC/BS OF ILLINOIS #

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