Mickelson, Jennifer

Mickelson, Jennifer is an individual health care provider with primary practice located at 2300 N Childrens Plz # 24 Division Of Urology - Childrens Memorial Hospital, Chicago IL 60614-3363. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Urology, which is considered as her primary health care specialty. Mickelson, Jennifer can be contacted via phone (773) 880-4000.

Contact Information

Primary practice address
2300 N Childrens Plz # 24 Division Of Urology - Childrens Memorial Hospital Chicago IL 60614-3363
Phone: (773) 880-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 036.117785 Illinois

Profile Details

NPI number 1558518761
LBN Legal business name Mickelson, Jennifer
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2008
Last updated Aug 19th, 2008 - about 17 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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