Individual
DR. MICHAEL JOSEPH MUSACCHIO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2650 RIDGE AVE, KELLOGG 3RD FLOOR, EVANSTON, IL 60201-1718
(847) 570-1440
(847) 570-1442
Mailing address
2650 RIDGE AVE, KELLOGG 3RD FLOOR, EVANSTON, IL 60201-1718
(847) 570-1440
(847) 570-1442
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
036112867
IL
Other
Enumeration date
07/30/2007
Last updated
03/11/2021
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