Active NPI 1467436972 Individual Practitioner Male Practitioner

Dr. Michael Mcdonnell , MD

Internal Medicine • Chicago, IL

✓ Accepts Medicare Assignment Telehealth Available

Public Directory Information & Medical Disclaimer

This profile is compiled from official public domain records provided by CMS and the NPPES registry. TRUE-MEDINFO is an independent reference directory and does not provide medical advice, diagnosis, or treatment recommendations. Always consult a licensed medical professional for personal health decisions.

Professional Overview & Biography Verified Profile Summary

Dr. Michael Mcdonnell, MD is a registered Internal Medicine practitioner in Chicago, IL. With approximately 41 years of clinical practice since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1985, Dr. Mcdonnell provides healthcare services at the registered practice location at 5525 S PULASKI RD.

Dr. Mcdonnell is affiliated with Osf Multi-Specialty Group and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, residence visit for established patient with moderate level of medical decision making, per day, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5525 S Pulaski Rd
2nd Flr

Chicago, IL 606294417

Telephone 7735851955

Fax 7732845268

Associated Practice Facility / Clinic

🏢 Scal Ii Inc Facility NPI 1902848716

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Chicago, IL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +19.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 28.9 Yrs

Regional Practice Density

2969 Specialists

Practicing in Chicago, IL (7544 Statewide)

Telehealth Adoption Rate

12.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mcdonnell (41 Years) 41 Yrs

Chicago Specialty Average (21.8 Years) 21.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	786	446	$293.94	$131.24
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	382	278	$49.00	$16.92
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	189	48	$360.00	$130.97
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	128	53	$338.00	$122.02
83036 Hemoglobin A1C level	125	97	$61.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	124	107	$207.87	$94.13
G0008 Administration of influenza virus vaccine	114	111	$33.94	$33.26
90653 Vaccine for influenza for injection into muscle	102	102	$75.00	$73.50
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	76	15	$184.00	$64.55
99239 Hospital discharge day management, more than 30 minutes	53	41	$324.00	$117.26
G0009 Administration of pneumococcal vaccine	50	50	$33.00	$32.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	41	$493.00	$178.47
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	50	50	$482.00	$288.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$284.76	$116.85
99495 Transitional care management services for problem of at least moderate complexity	33	30	$595.00	$212.07
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	11	$74.67	$16.22
92229 Imaging of retina for disease detection, with automated review and report at point of care	19	18	$86.00	$41.61
81003 Automated urinalysis test	17	16	$15.00	$2.20
99442 Telephone medical discussion with physician, 11-20 minutes	17	16	$148.00	$93.08
99344 New patient home visit, typically 1 hour	17	17	$407.00	$144.71
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	15	12	$80.40	$34.62
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$152.00	$55.16
90480 Admn sarscov2 vacc 1 dose	11	11	$33.00	$32.34
91320 Sarscv2 vac 30mcg trs-suc im	11	11	$148.00	$143.53
69210 Removal of impacted ear wax	11	11	$267.00	$50.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,044	481	$282.00	$132.46
G0008 Administration of influenza virus vaccine	123	122	$32.96	$29.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	117	48	$283.00	$124.83
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	116	115	$74.72	$73.23
83036 Hemoglobin A1C level	111	88	$60.00	$9.52
99213 Established patient office or other outpatient visit, typically 15 minutes	97	84	$200.00	$94.02
G0009 Administration of pneumococcal vaccine	93	93	$32.00	$29.66
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	93	93	$450.00	$280.96
99239 Hospital discharge day management, more than 30 minutes	66	49	$288.00	$120.22
99442 Telephone medical discussion with physician, 11-20 minutes	50	42	$135.00	$94.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	38	$547.00	$181.81
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	42	36	$351.00	$133.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	19	$197.00	$82.98
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	35	30	$144.00	$54.07
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	29	$352.00	$139.69
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	27	12	$174.00	$65.05
99495 Transitional care management services for problem of at least moderate complexity	25	23	$563.00	$212.15
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	23	11	$131.00	$48.88
81003 Automated urinalysis test	15	13	$15.00	$2.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$274.00	$119.29
99443 Telephone medical discussion with physician, 21-30 minutes	14	13	$187.00	$132.17
82962 Blood glucose (sugar) test performed by hand-held instrument	12	11	$20.00	$3.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$400.00	$186.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,050	490	$270.25	$134.06
G0008 Administration of influenza virus vaccine	150	145	$31.80	$28.05
83036 Hemoglobin A1C level	113	90	$57.24	$9.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	103	36	$276.91	$106.83
99442 Telephone medical discussion with physician, 11-20 minutes	101	73	$127.57	$95.44
99213 Established patient office or other outpatient visit, typically 15 minutes	87	76	$192.67	$96.23
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	85	85	$58.06	$56.90
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	67	64	$26.78	$20.96
99443 Telephone medical discussion with physician, 21-30 minutes	49	42	$178.63	$134.37
99239 Hospital discharge day management, more than 30 minutes	49	40	$282.12	$109.27
G0009 Administration of pneumococcal vaccine	48	48	$30.83	$28.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	36	$533.88	$207.92
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	39	39	$495.79	$278.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	27	$379.72	$192.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	15	$190.48	$75.21
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$395.60	$171.88
69210 Removal of impacted ear wax	16	16	$245.00	$51.86
99441 Telephone medical discussion with physician, 5-10 minutes	16	15	$81.00	$58.92
99495 Transitional care management services for problem of at least moderate complexity	13	13	$552.23	$217.60
99217 Hospital observation care on day of discharge	13	13	$190.62	$75.34
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$139.83	$56.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,021	471	$266.00	$138.13
99213 Established patient office or other outpatient visit, typically 15 minutes	174	128	$173.60	$97.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	169	55	$270.76	$109.92
83036 Hemoglobin A1C level	127	94	$55.35	$9.64
G0008 Administration of influenza virus vaccine	123	122	$30.00	$16.21
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	123	122	$26.00	$20.51
99239 Hospital discharge day management, more than 30 minutes	62	50	$277.35	$113.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	59	31	$187.68	$76.57
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	44	$526.09	$213.41
99443 Telephone medical discussion with physician, 21-30 minutes	33	30	$175.67	$139.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$387.09	$178.80
99442 Telephone medical discussion with physician, 11-20 minutes	30	26	$120.50	$98.86
99217 Hospital observation care on day of discharge	28	28	$188.39	$72.21
99238 Hospital discharge day management, 30 minutes or less	16	14	$188.00	$76.77
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	14	$137.27	$56.59
99219 Hospital observation care, typically 50 minutes	13	13	$352.77	$132.55
82962 Blood glucose (sugar) test performed by hand-held instrument	13	13	$19.00	$3.28
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$16.20
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$258.25	$121.47
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	11	11	$369.09	$178.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	628	318	$247.82	$115.40
99213 Established patient office or other outpatient visit, typically 15 minutes	188	122	$149.41	$80.01
G0008 Administration of influenza virus vaccine	111	111	$29.14	$16.17
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	111	111	$26.00	$19.57
99442 Telephone medical discussion with physician, 11-20 minutes	106	88	$125.43	$80.18
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	28	$246.63	$112.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	93	37	$183.77	$78.09
99238 Hospital discharge day management, 30 minutes or less	76	63	$179.33	$78.00
83036 Hemoglobin A1C level	75	56	$50.53	$9.43
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	30	$492.05	$214.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$248.50	$114.21
99443 Telephone medical discussion with physician, 21-30 minutes	34	30	$177.21	$117.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$344.00	$150.46
82962 Blood glucose (sugar) test performed by hand-held instrument	25	23	$13.72	$3.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	23	$101.88	$49.31
99441 Telephone medical discussion with physician, 5-10 minutes	23	22	$69.00	$49.09
G0009 Administration of pneumococcal vaccine	21	21	$30.05	$16.26
99217 Hospital observation care on day of discharge	19	19	$186.74	$75.31
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	12	$135.93	$57.42
90670 Pneumococcal vaccine for injection into muscle	14	14	$318.50	$220.24
81003 Automated urinalysis test	13	12	$11.77	$2.23
99219 Hospital observation care, typically 50 minutes	11	11	$349.82	$136.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	621	244	$170.00	$115.26
99213 Established patient office or other outpatient visit, typically 15 minutes	440	223	$110.00	$78.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	168	62	$125.00	$77.96
83036 Hemoglobin A1C level	152	87	$24.00	$10.51
G0008 Administration of influenza virus vaccine	131	131	$35.00	$17.33
82962 Blood glucose (sugar) test performed by hand-held instrument	128	82	$10.00	$3.19
99238 Hospital discharge day management, 30 minutes or less	105	83	$125.00	$77.57
90662 Influenza vaccine split virus, preservative free	104	104	$49.17	$48.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	62	35	$165.00	$111.31
82044 Urine microalbumin (protein) analysis	57	57	$50.00	$6.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	53	42	$320.00	$216.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	41	37	$225.00	$147.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	30	$73.00	$48.02
G0009 Administration of pneumococcal vaccine	31	31	$35.00	$17.33
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	28	$100.00	$56.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	24	24	$158.00	$123.35
81003 Automated urinalysis test	24	20	$5.00	$2.44
90670 Pneumococcal vaccine for injection into muscle	21	21	$227.00	$208.64
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	20	20	$29.00	$17.72
69210 Removal of impacted ear wax	15	14	$81.00	$51.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	578	267	$110.00	$77.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	441	212	$170.00	$112.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	225	61	$125.00	$77.02
83036 Hemoglobin A1C level	132	73	$24.00	$11.75
G0008 Administration of influenza virus vaccine	127	126	$35.00	$21.31
90662 Influenza vaccine split virus, preservative free	111	110	$49.16	$48.06
82962 Blood glucose (sugar) test performed by hand-held instrument	91	59	$10.00	$3.21
99238 Hospital discharge day management, 30 minutes or less	77	63	$125.00	$76.59
82044 Urine microalbumin (protein) analysis	56	54	$50.00	$6.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	33	$320.00	$216.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$225.00	$142.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$180.00	$115.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	30	24	$100.00	$56.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	28	11	$165.00	$110.63
G0009 Administration of pneumococcal vaccine	26	26	$35.00	$21.31
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	24	$73.00	$46.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	23	23	$158.00	$122.51
90670 Pneumococcal vaccine for injection into muscle	18	18	$227.00	$196.26
81003 Automated urinalysis test	18	18	$5.00	$2.71
69210 Removal of impacted ear wax	13	13	$81.00	$52.26
99217 Hospital observation care on day of discharge	12	12	$126.00	$77.48
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$29.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	522	239	$110.00	$76.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	319	175	$170.00	$112.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	164	36	$125.00	$76.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	144	144	$180.00	$115.63
G0008 Administration of influenza virus vaccine	133	132	$35.00	$26.42
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	68	68	$29.00	$18.65
83036 Hemoglobin A1C level	66	52	$24.00	$12.65
90662 Influenza vaccine split virus, preservative free	65	65	$49.00	$47.93
99238 Hospital discharge day management, 30 minutes or less	50	33	$125.00	$75.34
82044 Urine microalbumin (protein) analysis	49	48	$50.00	$6.02
G0009 Administration of pneumococcal vaccine	41	41	$35.00	$26.42
90670 Pneumococcal vaccine for injection into muscle	38	38	$227.00	$186.70
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	32	25	$100.00	$56.79
99496 Transitional care management services for problem of high complexity	32	27	$344.00	$242.23
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	21	$225.00	$142.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	25	$73.00	$46.09
82962 Blood glucose (sugar) test performed by hand-held instrument	24	22	$10.00	$3.15
81003 Automated urinalysis test	20	19	$5.00	$3.02
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	16	$320.00	$215.95
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$260.00	$174.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	12	12	$158.00	$121.54
69210 Removal of impacted ear wax	11	11	$106.91	$52.75

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Bcbs Of Il

01621679 (IL)

Hospital & Practice Group Affiliations

Osf Multi-Specialty Group

8600 State Route 91, Peoria, IL 616157829

Phone: 3096835050

Osf Multi-Specialty Group

2800 W 95th St, Evergreen, IL 608052701

Phone: 7084992070

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

9 Associated Practitioners

Lorel Mayer Neal , MSN, CNM

Advanced Practice Midwife

NPI 1073596599

Master of Science in Nursing, Certified Nurse Midwife

Dr. David Ulaszek , MD

Internal Medicine

NPI 1215912316

Doctor of Medicine (M.D.)

Dr. Neill Peters , MD

Dermatology

NPI 1215912795

Doctor of Medicine (M.D.)

Dr. Theodore Christou , MD

Internal Medicine - Geriatric Medicine

NPI 1235106022

Doctor of Medicine (M.D.)

Joy Grohar , MS CNM

Advanced Practice Midwife

NPI 1235112798

MSCNM

Jennifer Benson , MS CNM

Advanced Practice Midwife

NPI 1619950284

MSCNM

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 5525 S PULASKI RD, 2ND FLR, CHICAGO, IL 606294417 (Tel: 7735851955)

📍

Updated Business Mailing Address July 08, 2007

Registered at 2525 S MICHIGAN AVE, B-390, CHICAGO, IL 606162333 (Tel: 3125676691)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as MICHAEL MCDONNELL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine

🟢

Initial NPI Registration & Enumeration November 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1467436972

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: November 30, 2005

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2525 S Michigan Ave, B-390

Chicago, IL 606162333

Phone: 3125676691

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.