Individual
DR. MICHELLE LEE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2160 S 1ST AVE, MAYWOOD, IL 60153-5500
(708) 216-5137
Mailing address
2160 S 1ST AVE, MAYWOOD, IL 60153-3328
(708) 216-5137
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036176637
IL
207RN0300X
Nephrology Physician
036176637
IL
Other
Enumeration date
04/16/2019
Last updated
10/14/2025
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