Paulo Roberto K. Michelini
Family Medicine · Peoria, IL
UnclaimedNPI 1164916706
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2018-06-18
- Practice location
- Peoria, IL
- Last NPPES update
- 2018-06-18
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONExpiredthrough 2023
- IL · Resident physician · TEMPORARY MEDICAL PERMITInactivethrough 2021
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.