Individual
WATAN ABUAITA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
555 31ST ST, DOWNERS GROVE, IL 60515-1235
(630) 515-6171
Mailing address
555 31ST ST, DOWNERS GROVE, IL 60515-1235
(630) 515-6171
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/26/2016
Last updated
09/26/2016
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