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PROVIDENT HOSPITAL OF COOK COUNTY
Physician Assistant
NPI: 1669554507Organization
Specialties, Licenses & Credentials
Physician AssistantPrimary
Physician Assistant
Code: 363A00000X
085-001953(IL)
Contact & Hours
- Address
- 500 E 51ST ST
CHICAGO, IL 60615 - Phone
- (312) 572-2664
Quick Facts
- NPI
- 1669554507
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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