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C. Michael Mullen

NPI 1467871087 · on the registry since 2014

Practice

Address
4440 W 95th St Ste 2177h
Oak Lawn, IL 60453
Phone
(708) 684-5341
Fax
(708) 684-4716
Organisation at this address
Uic
Stacie Ward
Walgreen Co
Surgical Partners
Advocate Christ Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
1,126

Additional practice sites

  • 1675 Dempster St, Park Ridge, IL

Registry record

Primary taxonomy
208000000X
208000000X
Also registered as
208000000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-12-10

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois