Doctor Name: | MICHAEL J FLAIS |
NPI Number: | 1003899808 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 36102033 |
Business Practice Address: | 10733 W. 165th St. Orland Park, IL - 604678713 |
Business Phone Number: | 7089577468 |
Business Fax Number: | 7089577471 |
Mailing Address: | 10733 W. 165th St., ORLAND PARK |
State: | IL |
Postal Code: | 604678713 |
Phone Number: | 7089577468 |
Fax Number: | 7089577471 |
NPI Enumeration Date: | 11/25/2005 |
NPI Last Update Date: | 03/17/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207KA0200X |
License Number: | 36102033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Allergy & Immunology |
Taxonomy Specialization: | Allergy |
Taxonomy Definition: |