Sutherland, Michael J

Sutherland, Michael J is an individual health care provider with primary practice located at 676 N Saint Clair St Ste 650 , Chicago IL 60611-2929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Sutherland, Michael J can be contacted via phone (312) 695-4835.

Contact Information

Primary practice address
676 N Saint Clair St Ste 650 Chicago IL 60611-2929
Phone: (312) 695-4835
Fax: (312) 695-3644
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 35132228 Ohio
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 036160346 Illinois
Allopathic & Osteopathic Physicians / Surgery 208600000X 35132228 Ohio

Profile Details

NPI number 1083604821
LBN Legal business name Sutherland, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2005
Last updated Jan 31st, 2023 - about last year

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 1083604821 NPPES
Ohio MEDICAID 0245123

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