Stephen Aydt PA

NPI 1710997911 - Physician Assistant - 363A00000X

NPI Details
NPI 1710997911
Gender Male
Enumeration Date 08/09/2006
Last Updated 08/29/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
1300 E CENTRAL RD
ARLINGTON HEIGHTS IL, 60005-2857, US
Phone (847) 870-6100
Fax
Business Location
900 RAND RD
ATTN: RAQUEL LEON
DES PLAINES IL, 60016-2359, US
Phone (847) 324-3976
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085-002756
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According to our database, Stephen Aydt PA NPI is 1710997911, taxonomy code is 363A00000X and license number is 085-002756, license state is located at Illinois. Stephen Aydt PA physically located at 1300 E Central Rd, Arlington Heights IL, 60005-2857. NPI Number Stephen Aydt PA has the Individual type.

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1710997911 NPI number is provided on an as is basis without warranty of any kind. 1710997911 is maintained by the National Plan & Provider Enumeration System. The contents of Stephen Aydt PA are for informational purposes only.