MEDICARE: ALEX MIRMAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	A183753	CA
2	2084P0800X	Psychiatry Physician	036.172562	IL

General Provider Information

NPI Number	:	1164009874
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEX MIRMAN

Provider Business Mailing Address
First Line	:	1142 W MADISON ST STE 406
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2191
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1142 W MADISON ST STE 406
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-2191
Country	:	US
Telephone Number	:	312-219-5597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2021
Last Update Date	:	02/10/2026

Similar Medicare Providers

1942377528 — LAUREN PRETNAR
Practice Location Address:

1142 W MADISON ST STE 302
CHICAGO, IL
60607-2191

Practice Phone: 312-970-0525
Practice Fax:

1316340995 — EMILY WOODS LCPC
Practice Location Address:

1142 W MADISON ST STE 302
CHICAGO, IL
60607-2191

Practice Phone: 312-324-4502
Practice Fax:

1245615582 — COLLECTIVE HOPE, LLC
Practice Location Address:

1142 W MADISON ST STE 406
CHICAGO, IL
60607-2191

Practice Phone: 773-599-9746
Practice Fax:

1427613918 — SARA JOELLEN STUMPOS LCSW
Practice Location Address:

1142 W MADISON ST UNIT 302
CHICAGO, IL
60607-2191

Practice Phone: 517-862-0994
Practice Fax:

1336793595 — ELIZABETH MILLER
Practice Location Address:

1142 W MADISON ST STE 302
CHICAGO, IL
60607-2191

Practice Phone: 312-324-4502
Practice Fax:

1023651114 — JENELLE NICOLE THOMAS LCSW
Practice Location Address:

1142 W MADISON ST
CHICAGO, IL
60607-2191

Practice Phone: 312-324-4502
Practice Fax:

Directions to “ ALEX MIRMAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.