Individual
HAILEY CHRISTA MERK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSM, MMS, PA-C
Contact information
Practice address
1611 W HARRISON ST STE 400, CHICAGO, IL 60612-4861
(312) 432-2300
(708) 409-5179
Mailing address
7737 W BIRCHWOOD AVE, CHICAGO, IL 60631-4242
(773) 391-1908
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
—
—
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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