ANDREW SUPLICKI

CHICAGO, IL
NPI1881220150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085007895)
Enumeration Date2020-03-19
Last Update Date2021-01-06
Business Address
ANDREW SUPLICKI
635 N DEARBORN ST
CHICAGO, IL 60654-4618
Phone number: 312-694-2273
Mailing Address
ANDREW SUPLICKI
635 N DEARBORN ST STE 100
CHICAGO, IL 60654-4618
Phone number: 312-694-2273