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NPI Code Detail

MEDICARE: MS. EMILY KATE SANDOWSKI PA-C

MEDICARE: MS. EMILY KATE SANDOWSKI PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant085-004486IL
2363AM0700XMedical Physician Assistant

General Provider Information

NPI Number : 1386995322
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. EMILY KATE SANDOWSKI PA-C
Provider Business Mailing Address
First Line : 3236 ARTHUR AVE
Second Line :
City : BROOKFIELD
State : IL
Zip : 60513-1222
Country : US
Telephone Number : 630-440-4108
Fax Number :
Provider Business Practice Location Address
First Line : 2701 W 68TH ST
Second Line :
City : CHICAGO
State : IL
Zip : 60629-1813
Country : US
Telephone Number : 773-884-9000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2012
Last Update Date : 04/07/2026

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