Individual
MIA LEE GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
901 BIESTERFIELD RD STE 300, ELK GROVE VILLAGE, IL 60007-7324
(312) 615-6666
Mailing address
901 BIESTERFIELD RD STE 300, ELK GROVE VILLAGE, IL 60007-7324
(312) 615-6666
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
06/30/2026
Last updated
06/30/2026
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