BENJAMIN FREDERICK PAUSTIAN

CHICAGO, IL
NPI1679200992
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085.009164)
Enumeration Date2022-08-05
Last Update Date2022-08-05
Business Address
BENJAMIN FREDERICK PAUSTIAN PA
219 W CHICAGO AVE
CHICAGO, IL 60654-5600
Phone number: 312-878-1945
Mailing Address
BENJAMIN FREDERICK PAUSTIAN PA
811 W AGATITE AVE APT 504
CHICAGO, IL 60640-6203
Phone number:
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