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Individual

DR. MICHAEL GARY ANKIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-7525
(847) 535-8414
Mailing address
660 N WESTMORELAND RD, LAKE FOREST, IL 60045-1659
(847) 535-7525
(847) 535-8414

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
036-053212
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04932447
BLUE CROSS BLUE SHIELD
IL
01
P00239371
RAILROAD MEDICARE
IL
Enumeration date
08/30/2006
Last updated
10/06/2015
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