Individual
DR. MICHAEL J. PALAZZOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1001 COMMERCIAL DR, MAHOMET, IL 61853-8625
(217) 586-6600
Mailing address
101 W UNIVERSITY AVE, CHAMPAIGN, IL 61820-3981
(217) 586-6600
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
036-085081
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036085081 1
—
IL
01
—
279500
MEDICARE GROUP
—
Enumeration date
08/03/2006
Last updated
01/05/2022
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