Individual
MICHELLE MUCASEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 795-8777
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
05/24/2023
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