Provider Demographics
NPI:1396960324
Name:VOSS, MICHELE RENAE (APN)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:RENAE
Last Name:VOSS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:RENAE
Other - Last Name:MCFEGGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APN
Mailing Address - Street 1:1700 E GOLF RD
Mailing Address - Street 2:SUITE 900
Mailing Address - City:SCHAUMBURG
Mailing Address - State:IL
Mailing Address - Zip Code:60173-5804
Mailing Address - Country:US
Mailing Address - Phone:847-590-0200
Mailing Address - Fax:847-590-0267
Practice Address - Street 1:1700 E GOLF RD
Practice Address - Street 2:SUITE 900
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-5804
Practice Address - Country:US
Practice Address - Phone:847-590-0200
Practice Address - Fax:847-590-0267
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209002820363LW0102X, 363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL309000433OtherCONTROLLED SUBSTANCE LIC
IL209002820OtherLICENSE NUMBER
IL363527803OtherTAX IDENTIFICATION NUMBER