Van Le

NPI 1689067357 - Physician Assistant - 363A00000X

NPI Details
NPI 1689067357
Gender Female
Enumeration Date 03/05/2015
Last Updated 11/25/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
2320 E 93RD ST
CHICAGO IL, 60617-3909, US
Phone (773) 967-2000
Fax
Business Location
2740 W FOSTER AVE
STE LL7
CHICAGO IL, 60625, US
Phone (773) 878-8200
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085.005380
Remove 1689067357 NPI Number
 

According to our database, Van Le NPI is 1689067357, taxonomy code is 363A00000X and license number is 085.005380, license state is located at Illinois. Van Le physically located at 2320 E 93rd St, Chicago IL, 60617-3909. NPI Number Van Le has the Individual type.

Sponsored links

1689067357 NPI number is provided on an as is basis without warranty of any kind. 1689067357 is maintained by the National Plan & Provider Enumeration System. The contents of Van Le are for informational purposes only.