Michael Thomas Massengill, PHD is a student in an organized health care education training program in Chicago, IL. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. Michael Thomas Massengill, PHD NPI is 1780213025. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
1855 W TAYLOR ST
CHICAGO, IL
ZIP 60612-242
Phone: (312) 996-7774
Fax: (312) 996-7770
The NPI 1780213025 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The enumeration date for this NPI number is 4/8/2020 and was last updated on 4/8/2020.