Individual
EMILY HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1675 DEMPSTER ST, YACKTMAN- 2ND FLOOR, PARK RIDGE, IL 60068-1110
(847) 318-9330
(847) 723-9441
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004884
IL
Other
Enumeration date
12/26/2013
Last updated
04/27/2022
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