MICAH PROCHASKA

CHICAGO, IL
NPI1114213857
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: IL  036134708)
Enumeration Date2011-06-21
Last Update Date2022-10-24
Business Address
MICAH PROCHASKA
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
Mailing Address
MICAH PROCHASKA
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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