Individual
GREG MIERZWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10300 SOUTHWEST HWY, CHICAGO RIDGE, IL 60415-1426
(708) 425-1100
Mailing address
4615 N BEACON ST APT 1S, CHICAGO, IL 60640-7012
(312) 343-3868
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
05010519A
IN
225100000X
Physical Therapist
Primary
070018409
IL
Other
Enumeration date
01/13/2016
Last updated
04/14/2025
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