Search › Illinois › 2080P0216X
Ryan Mitacek, MD
NPI 1639674211 · on the registry since 2018
Practice
- Address
- 5841 S Maryland Ave # Mc5044
Chicago, IL 60637 - Phone
- (773) 702-1000
Additional practice sites
- 3901 Beaubien St, Detroit, MI
Registry record
- Primary taxonomy
- 2080P0216X
2080P0216X
- Also registered as
- 208000000X
- Licence states on file
- MI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-04-12
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