Scott, Michael D

Scott, Michael D is an sole proprietor health care provider with primary practice located at 5404 Fairview Ave , Downers Grove IL 60515-5332. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Scott, Michael D can be contacted via phone (630) 921-1606.

Contact Information

Primary practice address
5404 Fairview Ave Downers Grove IL 60515-5332
Phone: (630) 921-1606
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 036100296 Illinois

Profile Details

NPI number 1790763571
LBN Legal business name Scott, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 3rd, 2006
Last updated May 13th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1790763571 NPPES
Illinois MEDICAID 036100296
Illinois MEDICAID 036100296-4
Illinois Other 3932056

Popular Providers