D/B/A KIRKLAND MEDICAL CLINIC – NPI #1841214368
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

D/B/A KIRKLAND MEDICAL CLINIC is a provider located in KIRKLAND, IL. NPPES has assigned the NPI number 1841214368 to D/B/A KIRKLAND MEDICAL CLINIC on July 27, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “D/B/A KIRKLAND MEDICAL CLINIC” is a dba name, the actual legal business name for this organization is THOMAS L. MICHALSEN DO LTD. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was previously updated about 4 years ago on Aug 22, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for D/B/A KIRKLAND MEDICAL CLINIC below.

NPI Profile for
THOMAS L. MICHALSEN DO LTD

NPI Number
1841214368
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
THOMAS L. MICHALSEN DO LTD
Doing Business As (dba): D/B/A KIRKLAND MEDICAL CLINIC
Primary location
406 SOUTH 5TH STREET
KIRKLAND, IL 60146
Phone: (815) 522-3301 Fax: (815) 522-3855
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
THOMAS MICHALSEN
PRESIDENT
Phone: (815) 522-3301
Updated
Certification Date
Aug 22, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)		 IL 036066772
207Q00000X
- Family Medicine		 IL 036096167

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.