Individual
JOSEPH N MICHELOTTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 S 8TH ST, WEST DUNDEE, IL 60118-2248
(847) 776-1200
(847) 776-9400
Mailing address
351 SHARON DR, BARRINGTON, IL 60010-3412
(847) 776-1200
(847) 776-9400
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
03655132
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036055132
—
IL
Enumeration date
09/09/2005
Last updated
05/16/2011
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