Jaclyn L Mis, PAC
NPI #1073899548 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1073899548
- Entity Type
- Individual
- Name
- Jaclyn L Mis, PAC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PAC
- Enumeration Date
- Oct 28, 2011
- Last Updated
- Jul 24, 2023
Practice Location
- Address
- 17495 LA GRANGE RD
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60487-7581
- Phone
- (815) 416-6641
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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