Individual
MICHAEL S. WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EMERGENCY MEDICINE, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Mailing address
2650 RIDGE AVE, EMERGENCY MEDICINE, EVANSTON, IL 60201-1718
(847) 570-2114
(847) 570-1223
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-087735
IL
207PT0002X
Medical Toxicology (Emergency Medicine) Physician
036-087735
IL
Other
Enumeration date
11/27/2006
Last updated
10/23/2018
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