Mirkin, Elizabeth

Mirkin, Elizabeth is an individual health care provider with primary practice located at 1501 S California Ave , Chicago IL 60608-1732. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Mirkin, Elizabeth can be contacted via phone (773) 542-6659.

Contact Information

Primary practice address
1501 S California Ave Chicago IL 60608-1732
Phone: (773) 542-6659
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X Illinois

Profile Details

NPI number 1407848286
LBN Legal business name Mirkin, Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407848286 NPPES
Illinois MEDICAID 036-096008-4

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