Individual
CAITLIN DAUGHTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 W JACKSON BLVD LBBY 106, CHICAGO, IL 60604-4142
(414) 771-6780
(414) 238-2424
Mailing address
10001 W INNOVATION DR STE 200, WAUWATOSA, WI 53226-4851
(414) 771-6780
(414) 238-2424
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007324
IL
Other
Enumeration date
11/05/2019
Last updated
04/23/2021
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