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Individual

DR. MICHAEL SCOTT EASTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1725 W HARRISON ST, STE 744, CHICAGO, IL 60612-3841
(312) 942-0118
(312) 942-1331
Mailing address
1725 W HARRISON ST, STE 744, CHICAGO, IL 60612-3841
(312) 942-0118
(312) 942-1331

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036068979
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
036068979
IL
01
36 68979
IL MED LICENSE
IL
Enumeration date
03/12/2007
Last updated
03/07/2023
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