Mary J Mikhailov
MD | Pediatrics | Female
Mary J Mikhailov, MD is a Winfield, Illinois based Pediatric doctor with medical specialization in
General Pediatrics. Mary J Mikhailov is also known as
Mary J Hautsch.
Current practice location of Mary J Mikhailov is
25 N Winfield Rd, Winfield, Illinois - 60190-1295. She can be contacted on phone at
630-260-0600 and fax number 630-260-1370.
Mary J Mikhailov is a sole proprietor of her business.
NPI number (Unique professional ID) for Mary J Mikhailov is
1700817244 which was assigned by NPPES on 05 Jul, 2006 and it was last updated on 03 Nov, 2014.
Mary J Mikhailov license number is
036078879 for Pediatrics (208000000X) in Illinois.
Mary J Mikhailov is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Mary J Mikhailov basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Mary J Mikhailov |
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| Other Name : | Mary J Hautsch |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Mary J Mikhailov address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 25 N Winfield Rd
Winfield, IL, 60190-1295
United States |
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| Phone Number : | 630-260-0600 |
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| Fax Number : | 630-260-1370 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1700817244 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2006 |
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| Last Updated On : | 03 Nov, 2014 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mary J Mikhailov are as mentioned. Primary taxonomy code for Mary J Mikhailov, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 036078879 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Mary J Mikhailov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 0222075 | Other | IL | BLUE CROSS GROUP NUMBER |
| 3631498336019001 | Other | IL | CDPG HFS PAYEE ID |
| 036078879 | MEDICAID | IL | |
| 363149833 | Other | IL | TAX IDENTIFICATION NUMBER |
| 548190001 | Other | IL | MEDICARE INDIVIDUAL PTAN |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 25 N Winfield Rd
Winfield, IL, 60190-1295
United States |
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| Phone Number : | 630-260-0600 |
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| Fax Number : | 630-260-1370 |
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Business Location:
Patients can refer following map for directions to
Mary J Mikhailov practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.