EZRA HUNTER

CHICAGO, IL
NPI1265061543
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.007818)
Additional Taxonomies363AM0700X Physician Assistant, Medical
(Licence: IL  085007818)
Enumeration Date2020-04-07
Last Update Date2024-09-27
Business Address
EZRA HUNTER PA
4009 N BROADWAY ST
CHICAGO, IL 60613-2110
Phone number: 773-275-2586
Mailing Address
EZRA HUNTER PA
4009 N BROADWAY ST
CHICAGO, IL 60613-2110
Phone number: