Individual
MICHAEL WARREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1701 W WASHINGTON BLVD, APT 1, CHICAGO, IL 60612-2637
(312) 320-3809
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
125067754
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD468986
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/28/2014
Last updated
02/12/2020
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