Individual
JUSTIN DUFFY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Mailing address
4309 W MEDICAL CENTER DR STE A200, MCHENRY, IL 60050-8437
(815) 759-8070
(815) 759-4931
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1174918809
IL
363AS0400X
Surgical Physician Assistant
0110008240
VA
363AS0400X
Surgical Physician Assistant
MA059753
PA
Other
Enumeration date
03/31/2015
Last updated
01/20/2025
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