Individual
MIYEITA GISELLE MAGEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3232 LAKE AVE STE 330, WILMETTE, IL 60091-1085
(224) 266-9420
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041419685
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
209019099
IL
Other
Enumeration date
02/07/2019
Last updated
01/22/2026
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