Terkildsen, Michael W

Terkildsen, Michael W is an individual health care provider with primary practice located at 900 N Westmoreland Rd Suite 110, Lake Forest IL 60045-1674. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Terkildsen, Michael W can be contacted via phone (847) 295-1220.

Contact Information

Primary practice address
900 N Westmoreland Rd Suite 110 Lake Forest IL 60045-1674
Phone: (847) 295-1220
Fax: (847) 295-1255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 03610892 Illinois

Profile Details

NPI number 1730121872
LBN Legal business name Terkildsen, Michael W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jun 23rd, 2010 - about 14 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 1730121872 NPPES
Illinois MEDICAID 03610892

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