Individual
ABIGAIL DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4250 DEMPSTER ST, SKOKIE, IL 60076-2008
(847) 763-8850
(847) 763-8851
Mailing address
1030 SCHOOL RD, CAMBRIDGE, VT 05444-9520
(720) 202-5530
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002790
IL
363A00000X
Physician Assistant
3063
CO
Other
Enumeration date
10/02/2010
Last updated
10/02/2010
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