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

Greg Mierzwa

Individual provider Physical Therapist · NPI 1689030199

Greg Mierzwa is a Physical Therapist in Private Practice in Chicago Ridge, Illinois. Qualified in 2003, 23 years ago. Practices with Vital Care Wound Solutions Co, a 7-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
23
Licensed in
IL, IN
In the registry since
2016
Specialties on file
2

Practice location Address checks out

10300 SW Hwy
Chicago Ridge, IL 60415-1426
Phone: (708) 425-1100
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070018409 (IL)
Physical Therapist Taxonomy 225100000X · Licence 05010519A (IN)

Record details

NPI number1689030199
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 13, 2016
Last updated in NPPESApril 14, 2025
Certification dateApril 14, 2025
Mailing address4615 N Beacon St Apt 1s, Chicago, IL 60640-7012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Vital Care Wound Solutions Co — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Chicago Ridge