Individual
AIDAN MARIE EX-WILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
676 N SAINT CLAIR ST STE 2030, CHICAGO, IL 60611-2830
(312) 926-6831
(312) 926-2200
Mailing address
676 N SAINT CLAIR ST STE 2030, CHICAGO, IL 60611-2830
(312) 926-6831
(312) 926-2200
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009886
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085.009886
—
IL
Enumeration date
01/04/2022
Last updated
03/26/2026
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