Individual
DR. MICHAEL JAMES SICHLAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
911 N ELM ST, STE 128, HINSDALE, IL 60521-3634
(630) 856-7460
Mailing address
911 N ELM ST, STE 128, HINSDALE, IL 60521-3634
(630) 856-7460
Taxonomy
Speciality
Code
Description
License number
State
2085R0204X
Vascular & Interventional Radiology Physician
Primary
036097595
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208342
GROUP MEDICARE PTAN
—
01
—
399960
GROUP MEDICARE PTAN
—
Enumeration date
06/07/2006
Last updated
03/23/2015
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