Individual
ELIZABETH R MICHALCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 W LAKE COOK RD STE 150, BUFFALO GROVE, IL 60089-2085
(847) 215-7554
Mailing address
439 MORAINE RD, HIGHLAND PARK, IL 60035-1937
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
019031759
IL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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