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NPI 1013571736

NPI 1013571736 : JOSEPH FRANK MICHALSKI MD, MPH, MS : CHICAGO, IL

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General NPI Number Information
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    NPI Number           |    1013571736
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    Entity Type          |    Individual 
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    Provider Name        |    JOSEPH FRANK MICHALSKI MD, MPH, MS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/29/2019
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    Last Update Date     |    05/28/2025
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Provider Practice Location Address
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    Address Line         |    820 S WOOD ST 
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    City                 |    CHICAGO
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    State                |    IL
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    Zip                  |    60612-4325
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    Country              |    US
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    Telephone            |    516-497-1888
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    Fax                  |    813-336-8648
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Provider Business Mailing Address
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    Address Line         |    625 MEADOW CT 
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    City                 |    ELK GROVE VILLAGE
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    State                |    IL
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    Zip                  |    60007-2317
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    Country              |    US
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    Telephone            |    516-497-1888
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208D00000X
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    Taxonomy Name        |    General Practice Physician
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    License Number       |    ME165552
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    License Number State |    FL
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    036.168255
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    License Number State |    IL
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