Individual
TOMMY G. BATTISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SA
Contact information
Practice address
4250 N MARINE DR STE 236, CHICAGO, IL 60613-1792
(773) 404-0160
(773) 404-9876
Mailing address
4250 N MARINE DR STE 236, CHICAGO, IL 60613-1792
(773) 404-0160
(773) 404-9876
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
12/31/2007
Last updated
12/31/2007
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