Mia Michelena in Park Ridge - Internal Medicine
Mia Michelena - NPI 1366485005
Mia Michelena is a Internal Medicine in Park Ridge, Illinois. Mia Michelena practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Mia Michelena is 1366485005. The last update date is 2021-12-21.
Mia Michelena's current location address is 1775 Dempster St, Park Ridge, Illinois. You can contact this provider via phone number 5179133810 and fax number 5179133811. The mailing address for Mia Michelena is 1775 Dempster St, Park Ridge, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mia Michelena |
|---|---|
| Address | 1775 Dempster St, Park Ridge, Illinois |
| Phone Number | 5179133810 |
| Fax Number | 5179133811 |
| Sole Proprietor | N |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1366485005 |
|---|---|
| Provider Enumeration Date | 2006-06-13 |
| Last Updated Date | 2021-12-21 |
Provider Mailing Address Detail
| Address | 1775 Dempster St |
|---|---|
| City | Park Ridge |
| State | Illinois (IL) |
| Post Code | 600681143 |
| Phone Number | 5179133810 |
| Fax Number | 5179133811 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 5101015690 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7419836 | MI | AETNA | |
| 1022116 | MI | MCLAREN HEALTH PLAN-COMMERCIAL | |
| 1153311825 | MI | BLUE CROSS BLUE SHIELD | |
| 200000002785 | MI | PHP | |
| 200000002785 | MI | PHP FAMILYCARE | |
| M21440049 | MI | MEDICARE ADVANTAGE | |
| 1022116 | MI | MCLAREN HEALTH PLAN-MEDICAID | |
| 1022116 | MI | MCLAREN HEALTH ADVANTAGE | |
| 1153311825 | MI | BLUE CARE NETWORK | |
| 4849578 | MI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mia Michelena by the Centers for Medicare & Medicaid Services?
The Mia Michelena has been issued the NPI (National Provider Identifier) 1366485005, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mia Michelena is physically located?
The Mia Michelena is physically situated at the following address: 1775 Dempster St, Park Ridge, IL, 600681143.
What is Mia Michelena's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Mia Michelena's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When did Mia Michelena receive its 1366485005 assignment?
The Mia Michelena was assigned its 1366485005 on 2006-06-13, which is the date when this unique identifier was issued to the organization.
When was the Mia Michelena's information last updated?
The Mia Michelena's information was last updated on 2021-12-21.
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