SearchIllinois101Y00000X

Mieisha Dismukes

NPI 1841094109 · on the registry since 2025

Practice

Address
4419 W North Ave
Melrose Park, IL 60160
Phone
(773) 205-4557
Organisation at this address
Youth Outreach Services
Youth Outreach Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Registry record

Primary taxonomy
101Y00000X
101Y00000X
Sex
Female
Record last updated
2025-04-03

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