Individual
DR. DONALD J MIRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1889 MAPLE AVE UNIT W2, EVANSTON, IL 60201-3169
(847) 912-5316
Mailing address
1889 MAPLE AVE UNIT W2, EVANSTON, IL 60201-3169
(847) 912-5316
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071002873
IL
Other
Enumeration date
06/28/2007
Last updated
03/21/2017
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