Individual
MIREYA LEDESMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 W LAKE COOK RD STE 120, BUFFALO GROVE, IL 60089-2085
(847) 808-8884
Mailing address
45 AMBER CT UNIT Z2, SCHAUMBURG, IL 60193-5765
(847) 798-8376
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
03/26/2007
Last updated
07/09/2007
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