Individual
PAMELA ATADE-NANGUIT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4400 W 95TH ST STE 407, OAK LAWN, IL 60453-2654
(312) 942-5000
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-2654
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010305
IL
Other
Enumeration date
01/24/2024
Last updated
08/30/2024
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