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Individual

ELIZABETH MARIE VOLLMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3901 MERCY DR, MCHENRY, IL 60050-3151
(815) 363-9900
Mailing address
1023 ARMISTEAD LN, MCHENRY, IL 60050-2474
(847) 337-5874

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085.006379
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
085.006379
IDFPR
IL
Enumeration date
10/10/2017
Last updated
10/12/2017
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