Mikulski, Paul Matthew

Mikulski, Paul Matthew is an individual health care provider with primary practice located at 5929 N Mobile Ave , Chicago IL 60646-5330. He recently has only one registered license in Chiropractic Providers / Nutrition, which is considered as his primary health care specialty. Mikulski, Paul Matthew can be contacted via phone (773) 573-6348.

Contact Information

Primary practice address
5929 N Mobile Ave Chicago IL 60646-5330
Phone: (773) 573-6348
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Nutrition 111NN1001X Illinois

Profile Details

NPI number 1376564807
LBN Legal business name Mikulski, Paul Matthew
Credentials D.C., C.C.N.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 8th, 2007 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376564807 NPPES
Illinois Other 01635895 BCBS

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