Search › Illinois › 183500000X
Keith Mierzwa
NPI 1043660707 · on the registry since 2016
Practice
- Address
- 966 Route 59
Antioch, IL 60002 - Phone
- (847) 395-7101
- Fax
- (847) 395-3112
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-06-14
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