Individual
MICHELO ANDREW CHIKONKA
Active
Individual
MICHELO ANDREW CHIKONKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APN-CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209015469
IL
367500000X
Certified Registered Nurse Anesthetist
28160736A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201272920
—
IN
01
—
264430F21
MEDICARE PTAN
IN
01
—
Q00642896
RAILROAD PTAN
IN
Enumeration date
11/26/2014
Last updated
04/02/2026
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