Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Michael Russell Mullane

Individual provider Internal Medicine Physician · NPI 1386665081

Dr. Michael Russell Mullane is an Internal Medicine in Chicago, Illinois. Graduated from Wayne State University School of Medicine in 1982, 44 years ago. Practices with Cook County, a 787-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
44
Trained at
Wayne State University School of Medicine
Licensed in
IL
In the registry since
2006
Specialties on file
2
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Practice location Address checks out

1900 W Polk St Rm 765
Chicago, IL 60612-3723
Phone: (312) 864-7194
Fax: (312) 864-9002
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Oncology Physician (primary) Taxonomy 207RX0202X · Licence 036-068847 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence 036-068847 (IL)

Record details

NPI number1386665081
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 21, 2006
Last updated in NPPESApril 27, 2021
Certification dateApril 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesMEDICAL ONCOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 1982 (44 years in practice)
Group practice Cook County — 787 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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