Individual
MRS. ANNIE AUN WEI PAUWAA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4400 W 95TH ST STE 308, OAK LAWN, IL 60453-2660
(708) 346-4040
(708) 346-3287
Mailing address
9500 BORMET DR STE 204, MOKENA, IL 60448-8399
(708) 346-4040
(708) 346-3287
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085-002718
IL
363AS0400X
Surgical Physician Assistant
10000903A
IN
Other
Enumeration date
06/08/2006
Last updated
12/17/2021
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