Mikhail, Laura M

Mikhail, Laura M is an individual health care provider with primary practice located at 1030 N Clark St Suite 400, Chicago IL 60610-5467. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Mikhail, Laura M can be contacted via phone (312) 943-6964.

Contact Information

Primary practice address
1030 N Clark St Suite 400 Chicago IL 60610-5467
Phone: (312) 943-6964
Fax: (312) 943-6924
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 036108530 Illinois

Profile Details

NPI number 1528067857
LBN Legal business name Mikhail, Laura M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Nov 25th, 2009 - about 17 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 1528067857 NPPES
Illinois MEDICAID 036108530

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