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Individual

MICHAEL FICARO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
900 NORTH SHORE DR STE 120, LAKE BLUFF, IL 60044-2225
(847) 615-1698
Mailing address
900 NORTH SHORE DR STE 120, LAKE BLUFF, IL 60044-2225

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209023221
IL

Other

Enumeration date
10/18/2021
Last updated
12/29/2022
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