Individual
DR. JON CHRISTOPHER MICHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 MAIN ST, ILLINOIS LUNG AND CRITICAL CARE SUITE 200, PEORIA, IL 61606-1907
(312) 504-5494
Mailing address
1001 MAIN ST, ILLINOIS LUNG AND CRITICAL CARE SUITE 200, PEORIA, IL 61606-1907
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-110931
IL
Other
Enumeration date
10/04/2006
Last updated
06/19/2012
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