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

Mario Michael Misseha

Individual provider Physician Assistant · NPI 1710533807

Mario Michael Misseha is a Physician Assistant in Aurora, Illinois. Works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
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Practice location Address checks out

2111 Ogden Ave
Aurora, IL 60504-7597
Phone: (630) 978-3800
Fax: (630) 862-3085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 7179 Hawthorne Ln, Hanover Park, IL 60133-6414 — (331) 425-3876
  • 100 Spalding Dr Ste 300, Naperville, IL 60540-6553 — (630) 790-1872

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085-007765 (IL)

Record details

NPI number1710533807
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 14, 2019
Last updated in NPPESJune 23, 2023
Certification dateJune 23, 2023

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