Fitzgerald, Michael
Fitzgerald, Michael is an individual health care provider with primary practice located at 640 S Washington St Ste 350, Naperville IL 60540-6603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Fitzgerald, Michael can be contacted via phone (630) 717-2646.Contact Information
Primary practice address
640 S Washington St Ste 350
Naperville IL 60540-6603
Phone: (630) 717-2646
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036102920 | Illinois |
Profile Details
| NPI number | 1346215407 |
|---|---|
| LBN Legal business name | Fitzgerald, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2006 |
| Last updated | Aug 29th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346215407 | NPPES |
| Illinois | MEDICAID | 036102920 |
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