Individual
MISS VICTORIA A TREACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-7458
Mailing address
5000 S 5TH AVE, HINES, IL 60141-3030
(708) 202-7458
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
A943R
SC
Other
Enumeration date
10/26/2008
Last updated
10/26/2008
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