Individual
WAJDEY NESHEIWAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507, EVANSTON, IL 60201-1718
(847) 570-2560
(847) 570-2930
Mailing address
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507, EVANSTON, IL 60201-1718
(847) 570-2560
(847) 570-2930
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085010519
IL
Other
Enumeration date
03/06/2024
Last updated
09/13/2024
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