Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MICHAEL JEFFREY GIRARDIN
NPI 1417873092
Student in an Organized Health Care Education/Training Program in Downers Grove, IL

Active since June 26, 2026
3450 LACEY RD, DOWNERS GROVE, IL 60515(630) 743-4500 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Jeffrey Girardin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JEFFREY GIRARDIN (NPI 1417873092) is an individual student in an organized health care education/training program in Downers Grove, Illinois and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1417873092
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL JEFFREY GIRARDIN
Location Address3450 LACEY RDDowners Grove, IL 60515-5430
Mailing Address555 31st StDowners Grove, IL 60515-1235
Sole ProprietorNo
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1417873092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3450 LACEY RD, Downers Grove, IL 60515

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dentist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Speech-Language Pathologist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Physical Therapist (Neurology)
3450 LACEY RD
DOWNERS GROVE, IL 60515
Physical Therapist
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dentist (General Practice)
3450 LACEY RD
DOWNERS GROVE, IL 60515
Dentist
3450 LACEY RD, SUITE 272
DOWNERS GROVE, IL 60515

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417873092, enumerated as an "individual" on June 26, 2026.

The provider is located at 3450 LACEY RD DOWNERS GROVE, IL 60515 and the phone number is (630) 743-4500.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.