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:
Health care specialties
Specialty | Code | License # | 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 16 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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