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Individual
MICHELLE P MULLIGAN
Active
Individual
MICHELLE P MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036081019
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107339
UNITED HEALTHCARE
—
05
—
036081019
—
IL
01
—
080021120
RR MEDICARE
IL
01
—
180420
HEALTHLINK
—
01
—
4622029
ADMINISTAR
IL
01
—
N8565
GROUP HEALTH PLAN
—
Enumeration date
06/27/2005
Last updated
08/28/2024
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