Individual
DR. MICHAEL J. CHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
111 N WABASH AVENUE, SUITE 1919, CHICAGO, IL 60602-2002
(312) 977-1179
(312) 977-0425
Mailing address
111 N WABASH AVE, STE 1919, CHICAGO, IL 60602-2002
(312) 738-3448
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
016005074
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005074
—
IL
01
—
01633748
BCBSIL NUMBER
IL
Enumeration date
12/01/2006
Last updated
08/21/2019
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