Individual
DR. MICHEAL PATRICK MACKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Mailing address
259 E ERIE ST STE 1900, CHICAGO, IL 60611-3246
(312) 695-7950
(312) 695-5747
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
036102617
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36102617
—
IL
Enumeration date
01/27/2006
Last updated
12/08/2020
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