Individual
MICHAEL MESIROW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2550 OAK PARK AVE, BERWYN, IL 60402-4661
(708) 575-6757
Mailing address
618 PADDOCK LN, LIBERTYVILLE, IL 60048-3733
(773) 504-7075
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006505
IL
Other
Enumeration date
04/05/2018
Last updated
03/05/2025
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