Organization
THOMAS L. MICHALSEN DO LTD
Active
Other names
d/b/a Kirkland Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS L MICHALSEN D.O. (PRESIDENT)
(815) 522-3301
Entity
Organization
Contact information
Practice address
406 SOUTH 5TH STREET, KIRKLAND, IL 60146
(815) 522-3301
(815) 522-3855
Mailing address
406 SOUTH 5TH STREET, KIRKLAND, IL 60146
(815) 522-3301
(815) 522-3855
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
036096167
IL
208D00000X
General Practice Physician
Primary
036066772
IL
Other
Enumeration date
07/27/2006
Last updated
08/22/2022
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