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Individual
MICHAEL E MULLIGAN
Active
Individual
MICHAEL E MULLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036078912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036078712
—
IL
01
—
080021119
RR MEDICARE
IL
01
—
102922
HEALTHLINK
—
01
—
4322029
UNITED HEALTHCARE
—
01
—
4622029
ADMINISTAR
IL
01
—
6015373
BCBS
IL
01
—
N4862
GROUP HEALTH PLAN
—
Enumeration date
06/24/2005
Last updated
05/18/2011
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