Mira Medical Associates, PLLC
Mira Medical Associates, PLLC is a Clinical Neuropsychologist in Tinley Park, Illinois. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 5
What do these letters mean?
- PLLC — Professional limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6775 Prosperi DrTinley Park, IL 60477-4789
Phone: (708) 726-6472
Fax: (708) 671-8446
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X |
|---|---|
| Clinical Child & Adolescent Psychologist | Taxonomy 103TC2200X |
| Nutritionist | Taxonomy 133N00000X |
| Pediatric Adolescent Medicine Physician | Taxonomy 2080A0000X |
| Psychiatric/Mental Health Nurse Practitioner | Taxonomy 363LP0808X |
Record details
| NPI number | 1588370464 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Mira Neuro Behavorial Health Care, LLC |
| Authorized official | Christopher Higgins — President · (708) 726-6472 |
| NPI enumerated | January 25, 2023 |
| Last updated in NPPES | January 25, 2023 |
| Certification date | January 25, 2023 |
| Mailing address | 6775 Prosperi Dr, Tinley Park, IL 60477-4789 |
Other providers in Tinley Park
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Mira Neuro Behavioral Health Care, LLC
6775 Prosperi Dr, Tinley Park, IL 60477 · (708) 726-6472