Individual
MYLES ATKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1620 W HARRISON ST, CHICAGO, IL 60612-3801
(888) 352-7874
Mailing address
600 S PAULINA ST STE 403, CHICAGO, IL 60612-3806
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
125.079620
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2021
Last updated
06/08/2022
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