Individual
DR. MICHAEL SCOTT EASTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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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