Individual
MICHAEL ALAN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1225 WEST LAKE STREET, MELROSE PARK, IL 60160
(708) 681-3000
(708) 783-0920
Mailing address
3998 FAIR RIDGE DRIVE, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0101239546
VA
207L00000X
Anesthesiology Physician
Primary
36113361
IL
207L00000X
Anesthesiology Physician
D0064298
MD
Other
Enumeration date
02/27/2007
Last updated
04/14/2015
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