Individual
EMILY FESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5841 S MARYLAND AVE # MC2050, CHICAGO, IL 60637-1443
(773) 702-5200
(773) 702-5160
Mailing address
2365 DONARSKI CT, GREEN BAY, WI 54302-4329
(920) 621-1953
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005093
IL
Other
Enumeration date
07/29/2014
Last updated
10/31/2019
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