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Jaclyn Mis, PAC
NPI 1073899548 · on the registry since 2011
Practice
- Address
- 17495 La Grange Rd
Tinley Park, IL 60487 - Phone
- (815) 416-6641
- Organisation at this address
- Dupage Medical Group
Du Page Medical Group Ltd
Du Page Medical Group, Ltd
Southwest Surgical ExcellenceInferred from a shared address, not stated in the registry. - Clinicians at this address
- 60
Additional practice sites
- 2320 High St, Blue Island, IL
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-07-24
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