Individual
COURTENAY LYNN FITTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
7447 W. TALCOTT AVE, SUITE 409, CHICAGO, IL 60631
(773) 763-3808
(773) 763-2885
Mailing address
7447 W. TALCOTT AVE, SUITE 409, CHICAGO, IL 60631
(773) 763-3808
(773) 763-2885
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005667
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085005667
STATE LICENSE
IL
Enumeration date
05/23/2016
Last updated
08/28/2023
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