Individual
DR. JEFFREY CHARLES MIRSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-2336
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
125060890
IL
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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