Sommerfeld, Michael Jon

Sommerfeld, Michael Jon is an individual health care provider with primary practice located at 800 N Westmoreland Rd Suite 100, Lake Forest IL 60045-1673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Sommerfeld, Michael Jon can be contacted via phone (847) 604-8144.

Contact Information

Primary practice address
800 N Westmoreland Rd Suite 100 Lake Forest IL 60045-1673
Phone: (847) 604-8144
Fax: (847) 234-4682
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036105987 Illinois

Profile Details

NPI number 1578547063
LBN Legal business name Sommerfeld, Michael Jon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Dec 8th, 2020 - about 4 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 1578547063 NPPES
Illinois MEDICAID 036105987

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