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Timothy Mizdrak, ATC, LAT
NPI 1104399856 · on the registry since 2019
Practice
- Address
- 1133 S State St # B500
Chicago, IL 60605 - Phone
- (847) 894-6221
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-01-05
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