Michael James Katsoulis, D.O.
Internal Medicine, Pulmonary Disease in Park Ridge, IL. Individual provider (NPI-1).
NPI number1073802435
StatusActive
Last updated in NPPESOct 2, 2024
Details
- NPI
- 1073802435
- Entity type
- Individual (NPI-1)
- Name
- Michael James Katsoulis
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 6, 2011
- Certification date
- Oct 2, 2024
- Last updated
- Oct 2, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RP1001X | Internal Medicine, Pulmonary Disease | 036.133882 | IL | Yes |
| 207R00000X | Internal Medicine | 036133882 | IL |
Practice location
850 Busse HwyPark Ridge, IL 60068-2302
Phone 847-759-4770 · Fax 847-759-8824
Mailing address
29373 Network PlChicago, IL 60673-1293
Phone 847-390-5900
Other practice locations
9201 Waukegan Rd
Morton Grove, IL 60053
Morton Grove, IL 60053
Phone 847-759-4770 · Fax 847-759-8824
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