Individual
DR. PETER MISUREC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3340 OAK PARK AVE, SUITE 305, BERWYN, IL 60402-3420
(708) 484-6019
(708) 484-0251
Mailing address
3340 OAK PARK AVE, SUITE 305, BERWYN, IL 60402-3420
(708) 484-6019
(708) 484-0251
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
036-061571
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061571
—
IL
Enumeration date
12/11/2006
Last updated
10/27/2016
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