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Kipp L Chillag, DO
Neurology Physician in Muskegon, Michigan
NPI 1518931245

Kipp L Chillag is a Neurology Physician based in Muskegon, MI and is specialized in Neurology. Kipp L Chillag practices in Muskegon, MI and has the professional credentials of DO. The NPI Number for Kipp L Chillag is 1518931245 and holds a License No. 51010114017 (Michigan).

The current practice location address for Kipp L Chillag is 1675 Leahy St Ste 401A, Muskegon, MI and can be reached out via phone at 231-672-4243 and via fax at 231-727-4214. You can also correspond with Kipp L Chillag through the mailing address at PO BOX 1848, MUSKEGON, MI - 49443-1848 (mailing address contact number: 231-672-4243).

Location: 1675 Leahy St Ste 401A, Muskegon, MI, 49443-1848
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Provider Profile Details
NPI Number
1518931245
Provider Name
Kipp L Chillag
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
1675 Leahy St Ste 401A, Muskegon, MI, 49443-1848
Phone Number
231-672-4243
Fax Number
231-727-4214
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
H400493386 01 MN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
1675 Leahy St Ste 401A
City
State
Zip
49442-5547
Phone Number
231-672-4243
Fax Number
231-727-4214
person
Provider Business Mailing Address Details
Address
Po Box 1848
City
State
Zip
49443-1848
Phone Number
231-672-4243
Fax Number
231-727-4214
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Neurodevelopmental Disabilities
Taxonomy
License No.
5101014017 (Michigan)
Definition
A pediatrician who treats children having developmental delays or learning disorders including those associated with visual and hearing impairment, mental retardation, cerebral palsy, spina bifida, autism and other chronic neurologic conditions. This specialist provides medical consultation and education and assumes leadership in the interdisciplinary management of children with neurodevelopmental disorders. They may also focus on the early identification and diagnosis of neurodevelopmental disabilities in infants and young children as well as on changes that occur as the child with developmental disabilities grows.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology
Taxonomy
License No.
5101014017 (Michigan)
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurology with Special Qualifications in Child Neurology
Taxonomy
License No.
51010114017 (Michigan)
Definition
A Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence.
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