Individual
KATHLEEN E MISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1725 W HARRISON ST, SUITE 1010, CHICAGO, IL 60612-3841
(312) 942-5904
(312) 563-2371
Mailing address
1725 W HARRISON ST, SUITE 1010, CHICAGO, IL 60612-3841
(312) 942-5904
(312) 563-2371
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003607
IL
Other
Enumeration date
06/29/2011
Last updated
11/30/2011
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