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1497495378
ASHLEY THAI
EVERGREEN PARK, IL
NPI
1497495378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.008878)
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
ASHLEY THAI PA-C
2800 W 95TH ST
EVERGREEN PARK, IL 60805-2701
Phone number: 708-422-6200
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Mailing Address
ASHLEY THAI PA-C
1458 W GRACE ST APT 3
CHICAGO, IL 60613-6885
Phone number: 614-732-7454
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