Individual
DR. MICHAEL BRENDAN NOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1875 DEMPSTER ST, SUITE 665, PARK RIDGE, IL 60068
(847) 825-1590
(847) 825-1604
Mailing address
1875 DEMPSTER ST, SUITE 665, PARK RIDGE, IL 60068-1186
(847) 825-1590
(847) 825-1604
Taxonomy
Speciality
Code
Description
License number
State
207VF0040X
Urogynecology and Reconstructive Pelvic Surgery (Obstetrics & Gynecology) Physician
Primary
036082360
IL
207VG0400X
Gynecology Physician
036082360
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036082360
—
IL
Enumeration date
08/31/2006
Last updated
08/09/2018
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