ALYSSA BRIE KETCHUM

CHICAGO, IL
NPI1104200625
Former NameALYSSA BRIE TEASDALE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: IL  085005549)
Enumeration Date2015-07-14
Last Update Date2018-12-17
Business Address
ALYSSA BRIE KETCHUM PA-C
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL 60611-2986
Phone number: 312-926-5354
Mailing Address
ALYSSA BRIE KETCHUM PA-C
676 N SAINT CLAIR ST STE 1900
CHICAGO, IL 60611-2986
Phone number: 312-926-5354
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