Individual
DR. GARY EDWARD MICHALOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
201 STEPHEN ST, LEMONT, IL 60439-3710
(630) 257-9132
(630) 257-9136
Mailing address
201 STEPHEN ST, LEMONT, IL 60439-3710
(630) 257-9132
(630) 257-9136
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-005266
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1682603
BLUE CROSS BLUE SHIELD
IL
Enumeration date
09/29/2006
Last updated
07/08/2007
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