person
Miranda K Carrico
Surgical Physician Assistant in Chicago, Illinois
NPI 1154585412

Miranda K Carrico is a Surgical Physician Assistant based in Burr Ridge, IL and is specialized in Surgical. Miranda K Carrico practices in Chicago, IL. The NPI Number for Miranda K Carrico is 1154585412 and holds a License No. 085004303 (Illinois).

The current practice location address for Miranda K Carrico is 5841 S Maryland Ave, Chicago, IL and can be reached out via phone at 888-824-0200.

Location: 5841 S Maryland Ave, Chicago, IL, 60527-5919
person
Provider Profile Details
NPI Number
1154585412
Provider Name
Miranda K Carrico
Credential
Provider Entity Type
Individual
Gender
Female
Address
5841 S Maryland Ave, Chicago, IL, 60527-5919
Phone Number
888-824-0200
Fax Number
Provider Enumeration Date
07/16/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637-1443
Phone Number
888-824-0200
Fax Number
person
Provider Business Mailing Address Details
Address
5841 S Maryland Ave
City
State
Zip
60637-1443
Phone Number
888-824-0200
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085004303 (Illinois)
Definition
Definition to come...
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