Organization · NPI-2

Jonathan Miskevics PLLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Palos Heights, IL

NPI number1982389458
StatusActive
Last updated in NPPESJun 21, 2023

Details

NPI
1982389458
Entity type
Organization (NPI-2)
Legal business name
Jonathan Miskevics PLLC
Organization subpart
No
Enumeration date
Jun 21, 2023
Certification date
Jun 21, 2023
Last updated
Jun 21, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Other names

  • Jon Miskevics Lcpc (Doing Business As)

Practice location

6500 W College Dr Ste 101e3w
Palos Heights, IL 60463-1773

Phone 708-529-9166

Mailing address

15130 El Cameno Real Dr Apt 1s
Orland Park, IL 60462-3007

Phone 708-257-5382

Authorized official

Jonathan Miskevics
Owner
7082575382

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