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Contact Information

ALAN MICCO, MD
676 N SAINT CLAIR ST STE 1200
CHICAGO, IL60611-3068
 Phone: 312-695-8182
 Fax: 312-695-4303
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for ALAN MICCO · (Male)

NPI Number 1861426223
Status Active
Credentials MD
Entity Individual
Enumeration date 07/10/2006
Last updated 04/06/2026 - About 2 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-079904
  • IL License # 036079904
Hospital affiliation(s)
  • NORTHWESTERN MEMORIAL HOSPITAL - (Acute Care)
    251 E HURON ST
    CHICAGO, IL 60611
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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