Individual
ALYSSA MICEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
28381 DAVIS PKWY STE 700, WARRENVILLE, IL 60555-3033
(630) 348-3000
(630) 432-6663
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007179
IL
Other
Enumeration date
10/30/2019
Last updated
06/04/2024
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