Individual
MIRANDA SIRVINSKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
400 RIVERSIDE DR STE 2100, BOURBONNAIS, IL 60914-5004
(815) 935-2784
Mailing address
400 RIVERSIDE DR STE 2100, BOURBONNAIS, IL 60914-5004
(815) 935-2784
(815) 935-5687
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209026149
IL
Other
Enumeration date
09/19/2022
Last updated
03/24/2025
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