Individual
BERNADETTE MISZCZYSZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
251 E HURON ST, CHICAGO, IL 60611-2908
(312) 926-2000
Mailing address
2014 W HURON ST APT 1F, CHICAGO, IL 60612-1662
(773) 559-5700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-005102
IL
Other
Enumeration date
09/08/2014
Last updated
04/10/2019
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