Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
May 4, 2006
License(s)
085002537 (IL)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 3860 W OGDEN AVE | Chicago, IL 60623-2460 | 872-588-3000 |
| LOCATION | 3860 W OGDEN AVE | Chicago, IL 60623-2460 | 872-588-3000 |
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