Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAURICIO JUNIOR MIRANDA, PA-C
Active Sole ProprietorMAURICIO JUNIOR MIRANDA, PA-C is a Physician Assistant healthcare provider located in WAUCONDA, Illinois. NPI 1982305462 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WAUCONDA, IL
Registration Details
- NPI Number
- 1982305462
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 13, 2023 (3.4092572350399 yrs)
- Last Updated
- Sep 21, 2023
- License
-
085009878 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
431 W LIBERTY STWAUCONDA, IL, 600842452Browse IL providers · Browse ZIP 60084
- Phone
- 8475262151
- Fax
- 8475262017
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WAUCONDA, IL
| Name | Credential | NPI |
|---|---|---|
| REBECCA A PATZER | PA-C | 1609994425 |
| MS. SUJATHA R GOGULA | PA | 1740431758 |
| MS. STACIE WHARTON | PA | 1639321482 |
| MRS. KIMBERLY LYNN SWARBRICK | PA-C | 1174832257 |
| STEPHANIE SCHROEDER | PA-C | 1407153125 |
| CAITLIN KARAM KIM | — | 1881223345 |
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.