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Individual

MICHAEL S HOHLASTOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-2972
(815) 748-2978
Mailing address
1 KISH HOSPITAL DR, DEKALB, IL 60115-9602
(815) 748-2972
(815) 748-2978

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036081745
IL
207P00000X
Emergency Medicine Physician
76923
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036117448
IL
Enumeration date
07/23/2007
Last updated
11/24/2025
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