Search › Illinois › 225700000X
Jacek Miazek
NPI 1427662121 · on the registry since 2020
Practice
- Address
- 5848 N Mason Ave
Chicago, IL 60646 - Phone
- (708) 539-1073
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-09-01
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