Individual
MR. MICHAEL PALMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATL
Contact information
Practice address
635 EDENWOOD DR, ROSELLE, IL 60172
(630) 539-2826
(630) 539-1288
Mailing address
635 EDENWOOD DR, ROSELLE, IL 60172
(630) 539-2826
(630) 539-1288
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02232015
BCBS
IL
Enumeration date
01/11/2007
Last updated
07/08/2007
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