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1568471050
KELLY SUE LICARI
ARLINGTON HEIGHTS, IL
NPI
1568471050
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: IL 085-001156)
Enumeration Date
2006-08-05
Last Update Date
2007-09-14
Business Address
Mrs. KELLY SUE LICARI Physician Assistant
800 W CENTRAL RD NORTHWEST COMMUNITY HOSPITAL
ARLINGTON HEIGHTS, IL 60005-2349
Phone number: 847-618-3040
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Mailing Address
Mrs. KELLY SUE LICARI Physician Assistant
1886 KEYSTONE PL
SCHAUMBURG, IL 60193-3534
Phone number: 773-398-2686
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