Individual
MRS. KAITLIN HENDRIKSE
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) 570-2000
Mailing address
1111 WILLIAMS AVE, DEERFIELD, IL 60015-2149
(847) 521-0210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003704
IL
Other
Enumeration date
05/10/2010
Last updated
06/18/2015
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