Individual
MS. MICHELE LEE NASSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-6808
Mailing address
100 N MARIO CAPECCHI DR, SALT LAKE CITY, UT 84113-1103
(801) 662-3520
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
390200000X
MA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
036132981
IL
Other
Enumeration date
03/30/2010
Last updated
03/04/2024
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