MIRANDA K CARRICO

CHICAGO, IL
NPI1154585412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085004303)
Enumeration Date2008-07-16
Last Update Date2022-10-24
Business Address
MIRANDA K CARRICO
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
Mailing Address
MIRANDA K CARRICO
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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