Individual
CARINA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085010579
IL
363AS0400X
Surgical Physician Assistant
Primary
085010579
IL
Other
Enumeration date
05/20/2024
Last updated
09/17/2025
Update your record
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