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

Michael Poulson

Individual provider Trauma Surgery Physician · NPI 1992236111

Michael Poulson is a General Surgery in Chicago, Illinois. Graduated from Georgetown University School of Medicine in 2017, 9 years ago. Practices with University of Chicago, a 1,681-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Georgetown University School of Medicine
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

5841 S Maryland Ave
Chicago, IL 60637-1443
Phone: (888) 824-0200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 036168780 (IL)

Record details

NPI number1992236111
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2017
Last updated in NPPESJanuary 5, 2026
Certification dateJanuary 5, 2026
Mailing address150 Harvester Dr Ste 300, Burr Ridge, IL 60527-5965

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolGEORGETOWN UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice University Of Chicago — 1681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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