Jennifer Mickelson, MD - Urology in Chicago, IL

Jennifer Mickelson, MD is a Urology - Pediatric Urology physician based in Chicago, Illinois. Jennifer Mickelson is licensed to practice in Illinois (license number 036.117785) and her current practice location is 2300 N Childrens Plz # 24, Division Of Urology - Childrens Memorial Hospital, Chicago, Illinois. She can be reached at her office (for appointments etc.) via phone at (773) 880-4000.

NPI number for Jennifer Mickelson is 1558518761 and her current mailing address is 1730 N Clark St Apt 3610, Chicago, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558518761.

Contact Information

Jennifer Mickelson, MD
2300 N Childrens Plz # 24, Division Of Urology - Childrens Memorial Hospital,
Chicago, IL 60614-3363
(773) 880-4000
Not Available

Map and Direction




Physician's Profile

Full NameJennifer Mickelson
GenderFemale
SpecialityUrology - Pediatric Urology
Location2300 N Childrens Plz # 24, Chicago, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1558518761
  • Provider Enumeration Date: 08/19/2008
  • Last Update Date: 08/19/2008

Medical Identifiers

Medical identifiers for Jennifer Mickelson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558518761NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2088P0231XUrology - Pediatric Urology 036.117785 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jennifer Mickelson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jennifer Mickelson, MD
1730 N Clark St Apt 3610,
Chicago, IL 60614-5395

Ph: (312) 929-3865
Jennifer Mickelson, MD
2300 N Childrens Plz # 24, Division Of Urology - Childrens Memorial Hospital,
Chicago, IL 60614-3363

Ph: (773) 880-4000

Reviews and Comments


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