Individual
GITTEL MINDICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
6001 W CERMAK RD, CICERO, IL 60804-2018
(708) 656-5230
Mailing address
6001 W CERMAK RD, CICERO, IL 60804-2018
(708) 656-5230
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
015325-1
NY
363A00000X
Physician Assistant
Primary
085.004706
IL
363A00000X
Physician Assistant
PA9106302
FL
Other
Enumeration date
03/20/2012
Last updated
06/16/2014
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