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Individual

MRS. ASHLEY L. OKIGAWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
1710 N RANDALL RD STE 140, ELGIN, IL 60123-9401
(224) 293-1170
(847) 289-0960
Mailing address
1710 N RANDALL RD STE 140, ELGIN, IL 60123-9401
(224) 293-1170
(847) 289-0960

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004508
IL
363AS0400X
Surgical Physician Assistant
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
085004508
IL
Enumeration date
09/17/2012
Last updated
09/16/2021
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