# MICHAEL JAMES VERTA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1922028091
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 036046050 | IL | Yes |

## Other

- **Enumeration date:** 07/20/2006
- **Last updated:** 05/11/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036046050 | — | IL |
| 01 | — | 206147 | MEDICARE PTAN (GROUP) | — |
| 01 | — | 206147044 | MEDICARE PTAN (INDIVIDUAL) | — |
| 01 | — | 207988 | MED GROUP \# | IL |
| 01 | — | CA4748 | MEDICARE RAILROAD (GROUP) | — |
| 01 | — | P00904643 | MEDICARE RAILROAD (INDIVIDUAL) | — |