Individual
MISS CARLY SCOT EAKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2917 W 95TH ST, EVERGREEN PARK, IL 60805-2402
(708) 907-4355
Mailing address
88 E WACKER PL APT 2005, CHICAGO, IL 60601-7200
(901) 493-6643
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009511
IL
Other
Enumeration date
02/07/2023
Last updated
02/07/2023
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