Doctor Name: | DR. MIKHAIL MAGDEL |
NPI Number: | 1528258571 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036.118952 |
Business Practice Address: | 1229 N North Branch St Suite 210 Chicago, IL - 606422473 |
Business Phone Number: | 3129395090 |
Business Fax Number: | 3126404496 |
Mailing Address: | 1229 N North Branch St, Suite 210 CHICAGO |
State: | IL |
Postal Code: | 606422473 |
Phone Number: | 3129395090 |
Fax Number: | 3126404496 |
NPI Enumeration Date: | 07/26/2007 |
NPI Last Update Date: | 12/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | 036.118952 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |