Sutherland, Michael J
Sutherland, Michael J is an individual health care provider with primary practice located at 676 N Saint Clair St Ste 650 , Chicago IL 60611-2929. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is his primary health care specialty. Sutherland, Michael J can be contacted via phone (312) 695-4835.Contact Information
Primary practice address
676 N Saint Clair St Ste 650
Chicago IL 60611-2929
Phone: (312) 695-4835
Fax: (312) 695-3644
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 35132228 | Ohio |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 036160346 | Illinois |
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35132228 | Ohio |
Profile Details
| NPI number | 1083604821 |
|---|---|
| LBN Legal business name | Sutherland, Michael J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 24th, 2005 |
| Last updated | Jan 31st, 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 | 1083604821 | NPPES |
| Ohio | MEDICAID | 0245123 |
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