SearchIllinoisMedical Physician Assistant

Carly Mirowitz

NPI 1679090625 · on the registry since 2017

Practice

Address
2418 N Ashland Ave
Chicago, IL 60614
Phone
(773) 900-8330
Organisation at this address
Innovative Medspa Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
Medical Physician Assistant
363AM0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-23

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