Michelle Krischel, M.S., PA-C, ATC,

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085.0072 Issued in IL

Practice address

2515 N Clark St
Chicago, IL 60614-2730

Phone

(312) 227-6515

Fax

(312) 227-9404

NPI assigned

Apr 21, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Lurie Children'S Medical Group, LLC

  • Pediatrics Physician
  • Chicago, IL
  • NPI 1992758544
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1871980516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE # 69",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-6515",
            "fax_number": "312-227-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606142730",
            "telephone_number": "312-227-6515",
            "fax_number": "312-227-9404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Elon",
            "state": "NC",
            "postal_code": "272449423",
            "country_code": "US",
            "telephone_number": "336-278-6837",
            "fax_number": "336-278-6094",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRISCHEL",
        "first_name": "MICHELLE",
        "credential": "M.S., PA-C, ATC,",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-21",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NC",
            "license": "LAT-2034",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.0072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ella Isadora Krikorian
• Gina Kring, M.D.
• Harolod J Krinsky, DDS
• Kris G McGrath MD SC
• Jeneane Krischak
• Kevin Matthew Krise, PA-C
• Sai Ramani Krishna Kumar
• Krishna M Gopisetty D.D.S., M.S., P.C.
• Pallavi Sai Krishna Rao, MD
• Phari Krishna, M.D

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.