Mireya Ledesma, PA-C

NPI #1063530368 in Buffalo Grove, Illinois

Provider Information

NPI Number: 1063530368
Entity Type: Individual
Name: Mireya Ledesma, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Mar 26, 2007
Last Updated: Jul 9, 2007

Practice Location

Address: 600 W LAKE COOK RD STE 120
City: Buffalo Grove
State: Illinois
ZIP Code: 60089-2085
Phone: (847) 808-8884

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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