Most Relevant Information
Provider Data
| NPI Number: | 1003420803 |
| Provider Name: | MICHEL TAWIL MD |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/31/2020 |
| Last Updated: | 09/12/2023 |
Provider Practice Location
2121 W HARRISON ST
CHICAGO
IL
606123705
Practice Location Phone/Fax
| Phone: | 3126660500 |
| Fax: |
Provider Mailing Location
2121 W HARRISON ST
CHICAGO
IL
606123705
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |