FORTESA MYHA

ELK GROVE VILLAGE, IL
NPI1366794190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085006125)
Enumeration Date2012-10-03
Last Update Date2017-12-08
Business Address
FORTESA MYHA PA
800 BIESTERFIELD RD STE G01
ELK GROVE VILLAGE, IL 60007-3372
Phone number: 847-981-3680
Mailing Address
FORTESA MYHA PA
900 S FRONTAGE RD STE 325
WOODRIDGE, IL 60517-4907
Phone number: 630-972-8228
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