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Miranda Yasak

NPI 1043129471 · on the registry since 2026

Practice

Address
1626 N Melvina Ave
Chicago, IL 60639
Phone
(312) 962-9028

Registry record

Primary taxonomy
103K00000X
103K00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-09-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois