Individual
DR. MICHAEL J LIGHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N 9TH ST FL 3, SPRINGFIELD, IL 62702-5310
(217) 545-8000
Mailing address
201 E MADISON ST, SPRINGFIELD, IL 62702-5131
(217) 545-8000
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
036.172989
IL
2080P0214X
Pediatric Pulmonology Physician
ME81342
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015095400
—
FL
Enumeration date
06/28/2006
Last updated
04/15/2025
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