Thomas R. Mizen, M.d. and Associates, LLC

NPI #1659492759 in Chicago, Illinois

Provider Information

NPI Number: 1659492759
Entity Type: Organization
Organization Name: Thomas R. Mizen, M.d. and Associates, LLC
Primary Specialty: Ophthalmology
Enumeration Date: Apr 3, 2007
Last Updated: Nov 29, 2012

Practice Location

Address: 6187 S ARCHER AVE
Address 2: SUITE 101
City: Chicago
State: Illinois
ZIP Code: 60638-2605
Phone: (773) 581-2000

Authorized Official

Name: THOMAS R MIZEN, M.D.
Title: MANAGER
Phone: (773) 581-2000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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