Individual
MICHAEL MAGNUSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2500 RIDGE AVE, EVANSTON, IL 60201-2455
(847) 570-2700
(847) 570-2822
Mailing address
2650 RIDGE AVE # 1223, EVANSTON, IL 60201-1700
(847) 982-3175
(847) 982-3394
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036166983
IL
208M00000X
Hospitalist Physician
Primary
036166983
IL
Other
Enumeration date
03/12/2020
Last updated
10/14/2025
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