Individual
EMILIE MIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
583 OXFORD LN, LINDENHURST, IL 60046-7876
(847) 532-1740
Mailing address
583 OXFORD LN, LINDENHURST, IL 60046-7876
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
IL
Other
Enumeration date
09/10/2024
Last updated
09/10/2024
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