ANTHONY EDWARD FALCON

BLUE ISLAND, IL
NPI1063922854
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085006340)
Enumeration Date2017-10-05
Last Update Date2020-06-24
Business Address
ANTHONY EDWARD FALCON PA-C
12935 GREGORY ST
BLUE ISLAND, IL 60406-2428
Phone number: 708-597-2000
Mailing Address
ANTHONY EDWARD FALCON PA-C
4721 N MALDEN ST UNIT GN
CHICAGO, IL 60640-7180
Phone number: 917-604-3605