Individual
MICHAEL JAMES KATSOULIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
850 BUSSE HWY, PARK RIDGE, IL 60068-2302
(847) 759-4770
(847) 759-8824
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036133882
IL
207RP1001X
Pulmonary Disease Physician
Primary
036.133882
IL
Other
Enumeration date
04/06/2011
Last updated
10/02/2024
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