Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACLYN L MIS, PAC
ActiveJACLYN L MIS, PAC is a Physician Assistant healthcare provider located in TINLEY PARK, Illinois. NPI 1073899548 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · TINLEY PARK, IL
Registration Details
- NPI Number
- 1073899548
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 28, 2011 (14.649776783322 yrs)
- Last Updated
- Jul 24, 2023
- License
-
085004190 (IL)
Practice Information
- Address
-
17495 LA GRANGE RDTINLEY PARK, IL, 604877581Browse IL providers · Browse ZIP 60487
- Phone
- 8154166641
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in TINLEY PARK, IL
| Name | Credential | NPI |
|---|---|---|
| ELIZABETH E KAUFMANN-REED | — | 1306942636 |
| ISHANI PATEL | PA | 1174842926 |
| KRISTIN M DERUNGS | PA-C | 1588052385 |
| TRACI WALTERS | PA-C | 1134519465 |
| MRS. ELZBIETA KOLODZIEJ | P.A. | 1851744833 |
| MARY KATE MINEMAN | PA-C | 1164998167 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.