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

Mr. Augusto Miravalle, MD

Individual provider Neurology Physician · NPI 1629216627

Mr. Augusto Miravalle, MD is a Neurology in Chicago, Illinois. Qualified in 2002, 24 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Colorado and Illinois.

Years since qualifying
24
Licensed in
CO, IL
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1725 W Harrison St Ste 309
Chicago, IL 60612-3844
Phone: (312) 942-8011
Fax: (970) 226-6707
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2121 E. Harmony Road, Ft Collins, CO 80528 — (970) 226-6111

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 036118267 (IL)
Neurology Physician Taxonomy 2084N0400X · Licence 0047246 (CO)

Record details

NPI number1629216627
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 29, 2009
Last updated in NPPESJuly 28, 2023
Certification dateJuly 28, 2023

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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