Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carly Mirowitz

Individual provider Medical Physician Assistant · NPI 1679090625

Carly Mirowitz is a Medical Physician Assistant in Chicago, Illinois. Licensed in California. Registered with an NPI since 2017.

Licensed in
CA
In the registry since
2017

Practice location Address checks out

2418 N Ashland Ave
Chicago, IL 60614-2021
Phone: (773) 900-8330
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 54747 (CA)

Record details

NPI number1679090625
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2017
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026

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