Seo, Michelle M

Seo, Michelle M is an individual health care provider with primary practice located at 199 W Rand Rd , Mt Prospect IL 60056-1151. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Seo, Michelle M can be contacted via phone (847) 618-5450.

Contact Information

Primary practice address
199 W Rand Rd Mt Prospect IL 60056-1151
Phone: (847) 618-5450
Fax: (847) 618-5459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036090073 Illinois

Profile Details

NPI number 1437269545
LBN Legal business name Seo, Michelle M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated May 10th, 2021 - about 5 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 1437269545 NPPES
Illinois Other 0004532435 BLUE CROSS BLUE SHIELD
Illinois MEDICAID 036090073 BLUE CROSS BLUE SHIELD

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