Individual ProviderScott Alan MirowitzRadiologyAllopathic & Osteopathic PhysiciansPractice Address2160 So First Avenue, Radiology, Maywood, IL 60153-3328(708) 216-9000PECOS EnrollmentBased on the most recent information from CMS, provider Scott Alan Mirowitz does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 7 days ago.Profile DetailsProvider ID1053385898Provider TypeIndividualFull NameMirowitz, Scott AlanTitleDr.CredentialMDGenderMaleSole ProprietorNoEnumeration Date2/16/2006Last Updated4/30/2021Contact InformationPractice LocationPractice Address2160 So First Avenue, Radiology, Maywood, IL 60153-3328Phone(708) 216-9000FaxUnlisted FaxMailing LocationMailing Address2160 So First Avenue, Radiology, Maywood, IL 60153-3328Phone(708) 216-9000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode2085R0202XPrimaryDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicense036127302IllinoisCode2085R0202XDescriptionRadiologyAllopathic & Osteopathic PhysiciansLicenseMO36718Missouri