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1336794510
ELISABETH A WISE
CHICAGO, IL
NPI
1336794510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085007184)
Enumeration Date
2019-08-05
Last Update Date
2022-10-24
Business Address
ELISABETH A WISE
5841 S MARYLAND AVE
CHICAGO, IL 60637-1443
Phone number: 888-824-0200
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Mailing Address
ELISABETH A WISE
150 HARVESTER DR SUITE 300
BURR RIDGE, IL 60527-5919
Phone number:
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