Individual
KARINA MARIEL CALDERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
610 S MAPLE AVE STE 3700, OAK PARK, IL 60304-2806
(708) 660-6430
(708) 660-6447
Mailing address
909 W BUENA AVE APT 3E, CHICAGO, IL 60613-1693
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085.007044
IL
363AS0400X
Surgical Physician Assistant
Primary
085.007044
IL
Other
Enumeration date
06/10/2019
Last updated
03/04/2022
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