IndividualActive
Micheal Macken, MD
NPI 1336110550 · Clinical Neurophysiology Physician · Chicago, IL
Provider details
- NPI number
- 1336110550
- Entity type
- Individual
- Primary specialty
- Clinical Neurophysiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 036102617 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
259 E Erie St Ste 1900
Chicago, IL 60611-3246
Phone: (312) 695-7950
Fax: (312) 695-5747
Approximate (ZIP-level) locationGet directions
Mailing address
259 E Erie St Ste 1900
Chicago, IL 60611-3246
Additional practice locations (1)
- 360 Station Dr Ste 300Crystal Lake, IL 60014-8003Phone: (630) 933-4056Fax: (630) 933-4057
Registry dates
- Enumerated
- 2006-01-27
- Last updated
- 2020-12-08
- Certified
- 2020-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.