MICHAEL LARSEN

CHICAGO, IL
NPI1144781717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: IL  125.073601)
Enumeration Date2019-03-27
Last Update Date2024-01-30
Business Address
MICHAEL LARSEN
5841 S. MARYLAND AVE M/C 4028
CHICAGO, IL 60637-1443
Phone number: 773-702-6842
Mailing Address
MICHAEL LARSEN
180 HARVESTER DR STE 110
BURR RIDGE, IL 60527-6686
Phone number: 773-702-1150