Michigan Avenue Internists in Chicago - Dermatology
Michigan Avenue Internists - NPI 1922066588
Michigan Avenue Internists is a Dermatology in Chicago, Illinois. Michigan Avenue Internists practices all healthcare services and medical treatments related to Dermatology. The NPI Number for Michigan Avenue Internists is 1922066588. The last update date is 2022-07-21.
Michigan Avenue Internists's current location address is 200 S Michigan Ave, Chicago, Illinois. You can contact this provider via phone number 3129223815 and fax number 3129223789. The mailing address for Michigan Avenue Internists is 200 S Michigan Ave, Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Michigan Avenue Internists |
|---|---|
| Address | 200 S Michigan Ave, Chicago, Illinois |
| Phone Number | 3129223815 |
| Fax Number | 3129223789 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Ewert Donald Greg |
| Credentials | M.D. |
| Telephone Number | 3129223815 |
NPI Number Detail
| NPI Number | 1922066588 |
|---|---|
| Provider Enumeration Date | 2006-05-03 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 200 S Michigan Ave |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 606042402 |
| Phone Number | 3129223815 |
| Fax Number | 3129223789 |
Provider's Primary Taxonomy Detail
| Speciality | Dermatology |
|---|---|
| Taxonomy | 207N00000X |
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Definition: A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1605414 | IL | BC/BS OF ILLINOIS # |
Post Comment/ Review Below
What is the Michigan Avenue Internists's unique identification number?
The Michigan Avenue Internists has been assigned the NPI (National Provider Identifier) Number 1922066588 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Michigan Avenue Internists's facilities are geographically located?
The facilities of Michigan Avenue Internists are physically situated at the following location: 200 S Michigan Ave, Chicago, IL, 606042402.
What is Michigan Avenue Internists's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Michigan Avenue Internists is Dermatology, and the taxonomy code that categorizes this field of expertise is 207N00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1922066588 to Michigan Avenue Internists?
The Michigan Avenue Internists received its 1922066588 assignment from the Centers for Medicare & Medicaid Services on 2006-05-03.
When was the information related to Michigan Avenue Internists most recently updated or refreshed?
The details pertaining to the Michigan Avenue Internists, including its address, specialty, and other relevant information, were last updated or refreshed on 2022-07-21.