Individual
EMILY VASCONCELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10719 160TH ST, ORLAND PARK, IL 60467-5541
(708) 226-3300
Mailing address
10719 160TH ST, ORLAND PARK, IL 60467-5541
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2023
Last updated
09/26/2024
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