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Mary J Mikhailov, MD
Pediatrics Physician in Winfield, Illinois
NPI 1700817244

Mary J Mikhailov is a Pediatrics Physician based in Winfield, IL. Mary J Mikhailov practices in Winfield, IL and has the professional credentials of MD. The NPI Number for Mary J Mikhailov is 1700817244 and holds a License No. 036078879 (Illinois).

The current practice location address for Mary J Mikhailov is 25 N Winfield Rd, Winfield, IL and can be reached out via phone at 630-260-0600 and via fax at 630-260-1370.

Location: 25 N Winfield Rd, Winfield, IL, 60190-1295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700817244
Provider Name
Mary J Mikhailov
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
25 N Winfield Rd, Winfield, IL, 60190-1295
Phone Number
630-260-0600
Fax Number
630-260-1370
Provider Enumeration Date
07/05/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
363149833 01 IL TAX IDENTIFICATION NUMBER
0222075 01 IL BLUE CROSS GROUP NUMBER
548190001 01 IL MEDICARE INDIVIDUAL PTAN
3631498336019001 01 IL CDPG HFS PAYEE ID
036078879 05 IL
institution
Provider Business Practice Location Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-260-0600
Fax Number
630-260-1370
person
Provider Business Mailing Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-260-0600
Fax Number
630-260-1370
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036078879 (Illinois)
Definition
A pediatrician 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.
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