Individual
MICHAEL DALE ECKHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2000
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2000
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
125062759
IL
Other
Enumeration date
06/18/2013
Last updated
06/18/2013
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