Individual
MR. MICHAEL ALAN BANGHART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W WASHINGTON BLVD STE 401, CHICAGO, IL 60612-2127
(773) 645-8900
Mailing address
824 S TAYLOR AVE, OAK PARK, IL 60304-1626
(773) 841-5150
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
178.002258
IL
Other
Enumeration date
04/11/2007
Last updated
03/12/2025
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