Individual provider · Type 1 NPI

Adam Mietus, PA-C

Surgical Physician Assistant · Oak Lawn, IL

NPI number 1588025084 Active

Practice location

6701 W 95th St
Oak Lawn, IL 60453-2105

Other practice locations

  • 16255 Harlem Ave, Tinley Park, IL 60477-1615 · (708) 599-5000

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1588025084

Adam Mietus, PA-C's National Provider Identifier is 1588025084, issued on Mar 10, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Oak Lawn, IL. The record was last updated on Oct 11, 2021.