Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Madison Jean Keiko Miyake, PA-C

Individual provider Surgical Physician Assistant · NPI 1932981966

Madison Jean Keiko Miyake, PA-C is a Physician Assistant in Skokie, Illinois. Qualified in 2023, 3 years ago. Practices with University Pain Physicians LLC, a 9-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

9600 Gross Point Rd Ste 1200
Skokie, IL 60076-1214
Phone: (847) 945-7246
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1725 W Harrison St Ste 550, Chicago, IL 60612-3846 — (312) 942-6631
  • 610 S Maple Ave Ste 1500, Oak Park, IL 60304-2800 — (312) 563-3970

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.009949 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085.009949 (IL)

Record details

NPI number1932981966
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 16, 2023
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice University Pain Physicians Llc — 9 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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