Individual
ANTHONY EDWARD FALCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12935 GREGORY ST, BLUE ISLAND, IL 60406-2428
(708) 597-2000
Mailing address
4721 N MALDEN ST UNIT GN, CHICAGO, IL 60640-7180
(917) 604-3605
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006340
IL
Other
Enumeration date
10/05/2017
Last updated
06/24/2020
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