Individual
MICHAEL WARSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
840 S WOOD ST, 618 CSB, MC 820, CHICAGO, IL 60612-4325
(312) 996-2653
(312) 996-9365
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036-063987
IL
2086X0206X
Surgical Oncology Physician
036063987
IL
Other
Enumeration date
09/06/2006
Last updated
05/04/2021
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