Individual
MICHAEL J SCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, AGACNP-BC
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209027847
IL
363LA2100X
Acute Care Nurse Practitioner
Primary
2025018928
MO
363LA2100X
Acute Care Nurse Practitioner
24113
TN
Other
Enumeration date
03/20/2018
Last updated
06/06/2025
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