Individual
MS. ANNA J MIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
4700 W 95TH ST STE 303, OAK LAWN, IL 60453-2572
(708) 857-7230
(708) 425-5779
Mailing address
4700 W 95TH ST STE 303, OAK LAWN, IL 60453-2572
(773) 319-7341
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
209.009030
IL
367A00000X
Advanced Practice Midwife
Primary
209.009016
IL
Other
Enumeration date
09/15/2011
Last updated
12/29/2021
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