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Individual

DR. SCOTT ALAN MIROWITZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2160 SO FIRST AVENUE, RADIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-9000
Mailing address
2160 SO FIRST AVENUE, RADIOLOGY, MAYWOOD, IL 60153-3328
(708) 216-9000

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036127302
IL
2085R0202X
Diagnostic Radiology Physician
MO36718
MO

Other

Enumeration date
02/16/2006
Last updated
04/30/2021
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