KELLY A MUSCAVITCH

LAKE FOREST, IL
NPI1679963821
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085005451)
Enumeration Date2015-01-27
Last Update Date2023-01-26
Business Address
KELLY A MUSCAVITCH PA
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134
Mailing Address
KELLY A MUSCAVITCH PA
1000 N WESTMORELAND RD
LAKE FOREST, IL 60045-1658
Phone number: 847-582-2134