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“Physician Assistant” (Hazel Crest, IL)

Location: Hazel Crest, IL
Taxonomy: 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.
1043424740 — MARK AMBROSE PA-C
Practice Location Address:
3330 W 177TH ST SUITE 3E
HAZEL CREST IL
60429-2184
Practice Phone: 708-206-0010
1043932403 — KYRIAKI M KEENAN PA-C
Practice Location Address:
17800 KEDZIE AVE
HAZEL CREST IL
60429-2029
Practice Phone: 708-213-4200
1194560227 — ETHAN HOELDTKE PA-C
Practice Location Address:
17850 KEDZIE AVE STE 1150
HAZEL CREST IL
60429-2095
Practice Phone: 877-692-8686
1669955936 — OLIVIA SCHULTZ
Practice Location Address:
17800 KEDZIE AVE STE AIP
HAZEL CREST IL
60429-2029
Practice Phone: 708-283-5500
1982799508 — LISA M. FANTROY PA-C
Practice Location Address:
24 CARRINGTON CT
HAZEL CREST IL
60429-2517
Practice Phone: 708-922-9184

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