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1679963821
KELLY A MUSCAVITCH
LAKE FOREST, IL
NPI
1679963821
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085005451)
Enumeration Date
2015-01-27
Last Update Date
2023-01-26
Business Address
KELLY A MUSCAVITCH PA
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134
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Mailing Address
KELLY A MUSCAVITCH PA
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134
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