Mikhail, Laura M
Mikhail, Laura M is an individual health care provider with primary practice located at 1030 N Clark St Suite 400, Chicago IL 60610-5467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mikhail, Laura M can be contacted via phone (312) 943-6964.Contact Information
Primary practice address
1030 N Clark St Suite 400
Chicago IL 60610-5467
Phone: (312) 943-6964
Fax: (312) 943-6924
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | 036108530 | Illinois |
Profile Details
NPI number | 1528067857 |
---|---|
LBN Legal business name | Mikhail, Laura M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2005 |
Last updated | Nov 25th, 2009 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1528067857 | NPPES |
Illinois | MEDICAID | 036108530 |
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