Sanfilippo, Michelle Lee

Sanfilippo, Michelle Lee is an individual health care provider with primary practice located at 750 E Terra Cotta Ave Centegra Neurology, Crystal Lake IL 60014. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Sanfilippo, Michelle Lee can be contacted via phone (815) 338-6600.

Contact Information

Primary practice address
750 E Terra Cotta Ave Centegra Neurology Crystal Lake IL 60014
Phone: (815) 338-6600
Fax: (815) 455-1875
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085-001316 Illinois

Profile Details

NPI number 1679628374
LBN Legal business name Sanfilippo, Michelle Lee
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated May 18th, 2018 - about 6 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 1679628374 NPPES
Illinois Other 085001316 STATE LICENSE

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