Dr. Jeffrey Charles Mirsky, M.D.
Psychiatry & Neurology, Psychiatry in Chicago, IL. Individual provider (NPI-1).
NPI number1376899005
StatusActive
Last updated in NPPESJul 31, 2012
Details
- NPI
- 1376899005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Charles Mirsky
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 31, 2012
- Last updated
- Jul 31, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | 125060890 | IL | Yes |
Practice location
1653 W Congress PkwyChicago, IL 60612-3833
Phone 312-947-2336
Mailing address
1653 W Congress PkwyChicago, IL 60612-3833
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