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

Kyle Mieszcak

Individual provider Certified Registered Nurse Anesthetist · NPI 1417624206

Kyle Mieszcak is a Certified Registered Nurse Anesthetist (CRNA) in Berwyn, Illinois. Qualified in 2023, 3 years ago. Practices with Gottlieb Community Health Services Corporation, a 39-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2021
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Practice location Address checks out

3249 Oak Park Ave
Berwyn, IL 60402-3429
Phone: (708) 783-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 209027850 (IL)

Record details

NPI number1417624206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 27, 2021
Last updated in NPPESOctober 12, 2023
Certification dateOctober 12, 2023
Mailing address336 Mission Ave, Villa Park, IL 60181-1903

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Gottlieb Community Health Services Corporation — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Berwyn