Individual
ELIZABETH AHLGRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
(847) 570-2650
Mailing address
2650 RIDGE AVE, EVANSTON, IL 60201-1718
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085005113
IL
Other
Enumeration date
08/03/2014
Last updated
08/03/2014
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