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Individual

DR. MICHAEL DWIGHT HOWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
180 HARVESTER DR, SUITE 110, BURR RIDGE, IL 60527-7594
(773) 702-1150
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 834-1354

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
036132445
IL
207RP1001X
Pulmonary Disease Physician
036132445
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AA1526
HARVARD PILGRIM
MA
01
J26547
BLUE CROSS/BLUE SHIELD MA
MA
Enumeration date
05/16/2006
Last updated
05/14/2014
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