Michael Self

NPI 1053702746 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1053702746
Gender Male
Enumeration Date 02/17/2015
Last Updated 05/25/2016
Entity Type Individual
Active Over 1 year ago
Practice Location
240 E HURON SUITE 1-200
NORTHWESTERN MEDICINE MCGAW MEDICAL CENTER
CHICAGO IL, 60611, US
Phone (312) 503-7975
Fax
Business Location
840 W ROSCOE ST
UNIT 3W
CHICAGO IL, 60657-6894, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Michael Self NPI is 1053702746, taxonomy code is 390200000X Michael Self physically located at 240 E Huron Suite 1-200, Chicago IL, 60611. NPI Number Michael Self has the Individual type.

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1053702746 NPI number is provided on an as is basis without warranty of any kind. 1053702746 is maintained by the National Plan & Provider Enumeration System. The contents of Michael Self are for informational purposes only.