Individual
CASSADANA KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1225 W LAKE ST, MELROSE PARK, IL 60160-4039
(708) 681-3000
Mailing address
716 S STOUGH ST, HINSDALE, IL 60521-4351
(219) 508-5727
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
006868
IL
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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