Individual
YARA M ELBOGHDADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
15300 WEST AVE STE 122, ORLAND PARK, IL 60462-4508
(708) 403-8400
(708) 403-8492
Mailing address
15300 WEST AVE STE 122, ORLAND PARK, IL 60462-4508
(708) 403-8400
(708) 403-8492
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010140
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/10/2022
Last updated
04/25/2024
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