Kenneth Michaels's National Provider Identifier (NPI) Details
Kenneth Michaels, LCPC,MED
NPI: 1932248911
Enumeration Date: 2007-02-06
Last updated: 2007-07-08
Sole Proprietor: YES
Status: active
Postal Address: 5317 N KENMORE AVE, #2A, CHICAGO, IL
Phone: 773-944-5138
Primary Practice Address: 2524 N LINCOLN AVE, SUITE J, CHICAGO, IL
Practice's phone: 773-975-6656