Jennifer Mickelson, M.D.

NPI #1558518761 in Chicago, Illinois

Provider Information

NPI Number: 1558518761
Entity Type: Individual
Name: Jennifer Mickelson, M.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Urology - Pediatric Urology
Credential: M.D.
Enumeration Date: Aug 19, 2008
Last Updated: Aug 19, 2008

Practice Location

Address: 2300 N CHILDRENS PLZ # 24
Address 2: DIVISION OF UROLOGY - CHILDRENS MEMORIAL HOSPITAL
City: Chicago
State: Illinois
ZIP Code: 60614-3363
Phone: (773) 880-4000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology - Pediatric Urology — Pediatric Urology	2088P0231X	Primary

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