Individual
DR. MICHAEL R DEHAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
(312) 635-0973
Mailing address
401 N MICHIGAN AVE STE 1200, CHICAGO, IL 60611-4264
(312) 635-0973
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036073579
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001635157
BCBS PROVIDER NO.
IL
05
—
0360735792
—
IL
01
—
P00213432
RRMC
IL
Enumeration date
06/21/2005
Last updated
07/28/2025
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