ETHAN HIXSON

CHICAGO, IL
NPI1194882548
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085.002830)
Enumeration Date2007-01-03
Last Update Date2008-03-06
Business Address
-- ETHAN HIXSON PA-C
250 E SUPERIOR ST PRENTICE, 4-420
CHICAGO, IL 60611-2914
Phone number: 312-472-0440
Mailing Address
-- ETHAN HIXSON PA-C
250 E SUPERIOR ST PRENTICE, 4-420
CHICAGO, IL 60611-2914
Phone number: 312-472-0440
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