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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIAMAR HEALTH CLINIC PLLC

Active Organization

Nurse Practitioner · MATTESON, IL

Registration Details

NPI Number
1992494066
Provider Type
Organization
NPI Issued
May 4, 2023 (2.9687001794363 yrs)
Last Updated
Nov 26, 2025

Practice Information

Address
600 HOLIDAY PLAZA DR STE 501
MATTESON, IL, 604432359
Browse IL providers · Browse ZIP 60443
Phone
3124371023
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.