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“Medical Physician Assistant” (Great Lakes, IL)

Location: Great Lakes, IL
Taxonomy: Medical Physician Assistant.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1083898290 — MR. WARREN K KENNEDY PA-C
Practice Location Address:
3420 ILLINOIS ST
GREAT LAKES IL
60088-3120
Practice Phone: 847-688-2522
1770544835 — MR. JEROME THOMAS CAMPBELL II PA-C
Practice Location Address:
3420 ILLINOIS STREET USS TRANQUILLITY MEDICAL CLINIC
GREAT LAKES IL
60088-5230
Practice Phone: 847-680-6175

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