Fiorucci, Michael R

Fiorucci, Michael R is an individual health care provider with primary practice located at 2850 W 95Th St Suite 306, Evergreen Park IL 60805-2735. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Fiorucci, Michael R can be contacted via phone (708) 422-8500.

Contact Information

Primary practice address
2850 W 95Th St Suite 306 Evergreen Park IL 60805-2735
Phone: (708) 422-8500
Fax: (708) 229-6081
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 47268 Wisconsin
Allopathic & Osteopathic Physicians / Surgery 208600000X 036108602 Illinois

Profile Details

NPI number 1598760480
LBN Legal business name Fiorucci, Michael R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 19th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598760480 NPPES
Wisconsin MEDICAID 34584700

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