Individual provider · Type 1 NPI
Ethan Michael Meisel, MD
General Practice Physician · Chicago, IL
NPI number
1013029511
Active
Practice location
211 E Ontario St, Suite 925
Chicago, IL 60611-3468
Fax (312) 573-0694
Mailing address
2001 Butterfield Rd, Suite 300
Downers Grove, IL 60515-1050
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medicine Physician | 207P00000X | H95343 (GA) |
| General Practice Physician Primary | 208D00000X | 036.123753 (IL) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1013029511
Ethan Michael Meisel, MD's National Provider Identifier is 1013029511, issued on Aug 31, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Chicago, IL. The record was last updated on May 20, 2015.