Individual
ELIZABETH BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
259 E ERIE ST, CHICAGO, IL 60611-2987
(312) 926-2000
Mailing address
3424 KOSSUTH AVE, BRONX, NY 10467-2410
(718) 519-5000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007183
IL
363A00000X
Physician Assistant
7962132
NY
Other
Enumeration date
09/06/2012
Last updated
02/22/2021
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