Provider Demographics
NPI:1659667483
Name:THE MIKAL GROUP INC.
Entity Type:Organization
Organization Name:THE MIKAL GROUP INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:M
Authorized Official - Last Name:MENDEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-414-1823
Mailing Address - Street 1:2121 W MORSE AVE
Mailing Address - Street 2:2
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60645-4914
Mailing Address - Country:US
Mailing Address - Phone:630-414-1823
Mailing Address - Fax:312-268-5143
Practice Address - Street 1:2121 W MORSE AVE
Practice Address - Street 2:2
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60645-4914
Practice Address - Country:US
Practice Address - Phone:630-414-1823
Practice Address - Fax:312-268-5143
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-20
Last Update Date:2011-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency