Mauricio Junior Miranda, PA-C
Physician Assistant in McHenry, IL. Individual provider (NPI-1).
NPI number1982305462
StatusActive
Last updated in NPPESSep 25, 2026
Details
- NPI
- 1982305462
- Entity type
- Individual (NPI-1)
- Name
- Mauricio Junior Miranda
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 13, 2023
- Certification date
- Sep 25, 2026
- Last updated
- Sep 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085009878 | IL | Yes |
Practice location
4309 W Medical Center Dr Ste A200McHenry, IL 60050-8437
Phone 815-759-8070 · Fax 815-759-4931
Mailing address
4309 W Medical Center Dr Ste A200McHenry, IL 60050-8437
Phone 815-759-8070 · Fax 815-759-4931
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All 33 Physician Assistant providers in McHenry · All 2,101 providers in McHenry
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