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KHAUNSAVAN VONGPHAKDY, PA
PA
Surgical Physician Assistant
NPI: 1609624006IndividualAccepts Medicare
Specialties, Licenses & Credentials
Physician Assistant
Physician Assistant
Code: 363A00000X
Surgical Physician AssistantPrimary
Physician Assistant — Surgical
Code: 363AS0400X
085010441(IL)
CMS Specialties
PrimaryPHYSICIAN ASSISTANT
Education
OTHER
Class of 2023
Contact & Hours
- Address
- 2650 RIDGE AVE
EVANSTON, IL 60201 - Phone
- (847) 570-2000
Quick Facts
- NPI
- 1609624006
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 3
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