Individual
DR. MICHAEL VINCENT CERTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MA, MM
Contact information
Practice address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6833
(312) 227-9058
Mailing address
225 E CHICAGO AVE, CHICAGO, IL 60611-2991
(312) 227-6833
(312) 227-9058
Taxonomy
Speciality
Code
Description
License number
State
2080H0002X
Pediatric Hospice and Palliative Medicine Physician
Primary
036165540
IL
2080P0203X
Pediatric Critical Care Medicine Physician
036165540
IL
Other
Enumeration date
03/28/2016
Last updated
10/03/2023
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