Lynch, Michelle Diane

Lynch, Michelle Diane is an individual health care provider with primary practice located at 1775 Dempster St , Park Ridge IL 60068-1143. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Lynch, Michelle Diane can be contacted via phone (847) 723-5986.

Contact Information

Primary practice address
1775 Dempster St Park Ridge IL 60068-1143
Phone: (847) 723-5986
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085007128 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 085007128 Illinois

Profile Details

NPI number 1417504499
LBN Legal business name Lynch, Michelle Diane
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2019
Last updated Jan 5th, 2024 - about 2 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 1417504499 NPPES
Illinois Other 085007128 STATE LICENSE

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