Michael Driscoll, PHD is a
Counselor based in Utica, Illinois. Michael Driscoll is licensed to practice in Illinois (license number 180008372) and his current practice location is
2643 N Il Route 178 # J-4, Utica, Illinois. He can be reached at his office (for appointments etc.) via phone at
(815) 993-3046.
NPI number for Michael Driscoll is 1174397707 and his current mailing address is Po Box 159, Utica, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174397707.
Healthcare Provider's Profile
| Full Name | Michael Driscoll |
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| Gender | Male |
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| Speciality | Counselor |
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| Location | 2643 N Il Route 178 # J-4, Utica, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174397707
- Provider Enumeration Date: 11/14/2023
- Last Update Date: 11/14/2023
Medical Identifiers
Medical identifiers for Michael Driscoll such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174397707 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 180008372 (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. Michael Driscoll 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 Address | Practice Location Address |
|---|
Michael Driscoll, PHD
Po Box 159,
Utica, IL 61373-0159
Ph: (815) 993-3046 | Michael Driscoll, PHD
2643 N Il Route 178 # J-4,
Utica, IL 61373-9724
Ph: (815) 993-3046 |
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