Individual provider · Type 1 NPI

Carly Mirowitz

Medical Physician Assistant · Chicago, IL

NPI number 1679090625 Active

Practice location

2418 N Ashland Ave
Chicago, IL 60614-2021

Call (773) 900-8330 Map

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X54747 (CA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1679090625

Carly Mirowitz's National Provider Identifier is 1679090625, issued on Aug 29, 2017. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 23, 2026.