Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036-112557 | IL |
Y | 2080P0202X | Pediatric Cardiologist | 036-112557 | IL |
NPI | 1093998874 |
---|---|
Provider Name | Dr. Michael Andrew Paul |
First Address | Hoffman Estates, IL 60169-1019 |
Second Address | Hoffman Estates, IL 60169-1019 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/12/2007 |
Last Update Date | 18/11/2021 |