Mary Kate Mineman, PA-C
NPI #1164998167 in Tinley Park, Illinois
Provider Information
- NPI Number
- 1164998167
- Entity Type
- Individual
- Name
- Mary Kate Mineman, PA-C
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C
- Enumeration Date
- Oct 17, 2018
- Last Updated
- Dec 14, 2021
Practice Location
- Address
- 18425 WEST CREEK DR
- Address 2
- STEF
- City
- Tinley Park
- State
- Illinois
- ZIP Code
- 60477-2220
- Phone
- (708) 209-6783
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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