Individual
STEPHEN MIZERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
396 REMINGTON BLVD STE 130, BOLINGBROOK, IL 60440-4309
(630) 759-1248
Mailing address
396 REMINGTON BLVD STE 130, BOLINGBROOK, IL 60440-4309
(630) 759-1248
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006977
IL
Other
Enumeration date
04/23/2019
Last updated
03/24/2021
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