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

Individual provider Physician Assistant · NPI 1184102857

Miryl Glenner, PA-C is a Physician Assistant in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2018
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

680 N Lake Shore Dr
Chicago, IL 60611-4546
Phone: (312) 288-6420
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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 085.006685 (IL)

Record details

NPI number1184102857
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedAugust 3, 2018
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

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