Individual
MICHAEL JOHN SERGEANT SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
475 BROWN BLVD, SUITE 101, BOURBONNAIS, IL 60914-2325
(815) 939-7421
Mailing address
475 BROWN BLVD, SUITE 101, BOURBONNAIS, IL 60914-2325
(815) 939-7421
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036057704
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036057704
—
IL
Enumeration date
03/06/2007
Last updated
02/08/2016
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