Individual
MAKIKO OGINO-MCELLIGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
525 E CONGRESS PKWY, 100, CRYSTAL LAKE, IL 60014-6245
(815) 479-8020
Mailing address
525 E CONGRESS PKWY, 100, CRYSTAL LAKE, IL 60014-6245
(815) 479-8020
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-001932
IL
Other
Enumeration date
08/11/2005
Last updated
01/07/2017
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