Individual
COURTNEY MICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
25 E SCHAUMBURG RD, SUITE 200, SCHAUMBURG, IL 60194-3550
(847) 985-9390
(847) 985-6986
Mailing address
3040 W SALT CREEK LN, ARLINGTON HEIGHTS, IL 60005-1069
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001732
IL
Other
Enumeration date
06/29/2006
Last updated
07/08/2007
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