MEDICARE: DR. MICHAEL DENZ D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	036178172	IL
2	207XX0005X	Sports Medicine (Orthopaedic Surgery) Physician	036178172	IL

General Provider Information

NPI Number	:	1992154819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHAEL DENZ D.O.

Provider Business Mailing Address
First Line	:	1431 N WESTERN AVE STE 134
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1797
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1431 N WESTERN AVE STE 134
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60622-1797
Country	:	US
Telephone Number	:	773-235-1915
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/10/2016
Last Update Date	:	03/10/2026

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