JUSTIN ROBERT ANTHONY

SKOKIE, IL
NPI1205143567
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085003783)
Enumeration Date2010-09-08
Last Update Date2010-09-08
Business Address
-- JUSTIN ROBERT ANTHONY PA-C
9600 GROSS POINT RD
SKOKIE, IL 60076-1214
Phone number: 847-933-6950
Mailing Address
-- JUSTIN ROBERT ANTHONY PA-C
7377 N ROGERS AVE APT 206
CHICAGO, IL 60626-5960
Phone number: 847-477-7731