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1962603688
CONSUELO TAPIA
EVANSTON, IL
NPI
1962603688
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: IL 085-001940)
Enumeration Date
2007-05-30
Last Update Date
2017-01-03
Business Address
-- CONSUELO TAPIA PA
2650 RIDGE AVE WALGREEN BUILDING, SUITE 2507
EVANSTON, IL 60201-1718
Phone number: 847-570-2560
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Mailing Address
-- CONSUELO TAPIA PA
2650 RIDGE AVE EVANSTON HOSPITAL
EVANSTON, IL 60201-1718
Phone number: 847-570-1206
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