Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mauricio Junior Miranda, PA-C

Individual provider Physician Assistant · NPI 1982305462

Mauricio Junior Miranda, PA-C is a Physician Assistant in Wauconda, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2023
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

431 W Liberty St
Wauconda, IL 60084-2452
Phone: (847) 526-2151
Fax: (847) 526-2017
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009878 (IL)

Record details

NPI number1982305462
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 13, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

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