Individual
MRS. MICHELLE LEE SANFILIPPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
750 E TERRA COTTA AVE, CENTEGRA NEUROLOGY, CRYSTAL LAKE, IL 60014
(815) 338-6600
(815) 455-1875
Mailing address
750 E TERRA COTTA AVE STE A, CRYSTAL LAKE, IL 60014-3621
(815) 338-6600
(815) 455-1875
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001316
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085001316
STATE LICENSE
IL
Enumeration date
01/24/2007
Last updated
05/18/2018
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