Waldemar Mysiak, M.D.
Family Medicine · Libertyville, IL
UnclaimedM.D.NPI 1972567717
- Primary taxonomy
- 207Q00000X
- Enumerated
- 2006-04-17
- Practice location
- Libertyville, IL
- Last NPPES update
- 2017-02-14
State licenses
- IL · Physician · LICENSED PHYSICIAN AND SURGEONExpiredthrough 2023
- IL · Resident physician · TEMPORARY MEDICAL PERMITExpiredthrough 1999
“Listed on NPI record” means the provider reported this license to NPPES; other statuses come from the state board’s public records as of the last import. License numbers are not shown.
Source: CMS National Plan & Provider Enumeration System (NPPES) and state licensing boards. ScrubHub shows name, credential, taxonomy, practice city/state and license status only.