| Jamie Mirocha | |
|
24012 W Renwick Rd Ste 204a Plainfield IL 60544-8733 | |
| (815) 676-4688 | |
| (815) 676-4498 |
| Full Name | Jamie Mirocha |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 24012 W Renwick Rd Ste 204a, Plainfield, Illinois |
| Authorized Official Name and Position | Jamie Mirocha (THERAPIST) |
| Authorized Official Contact | 8156764688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Mirocha 24012 W Renwick Rd Ste 204a Plainfield IL 60544-8733 Ph: () - | Jamie Mirocha 24012 W Renwick Rd Ste 204a Plainfield IL 60544-8733 Ph: (815) 676-4688 |
| NPI Number | 1164806279 |
|---|---|
| Provider Enumeration Date | 07/17/2015 |
| Last Update Date | 07/17/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164806279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 149017464 (Illinois) | Primary |
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