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NPI Code Detail

MEDICARE: MIYEITA GISELLE MAGEE NP

MEDICARE: MIYEITA GISELLE MAGEE NP
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
1363LP0200XPediatric Nurse Practitioner209019099IL
2163W00000XRegistered Nurse041419685IL

General Provider Information

NPI Number : 1538624184
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIYEITA GISELLE MAGEE NP
Provider Business Mailing Address
First Line : 29373 NETWORK PL
Second Line :
City : CHICAGO
State : IL
Zip : 60673-1293
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3232 LAKE AVE STE 330
Second Line :
City : WILMETTE
State : IL
Zip : 60091-1085
Country : US
Telephone Number : 224-266-9420
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2019
Last Update Date : 01/22/2026

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Directions to “ MIYEITA GISELLE MAGEE NP” Practice Location

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