Individual
KARI MICHELLE BOERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1817 S LOOMIS ST, CHICAGO, IL 60608-3018
(312) 666-6511
(312) 666-1658
Mailing address
4119 N ASHLAND AVE, UNIT 2, CHICAGO, IL 60613-1880
(616) 647-7174
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004868
IL
Other
Enumeration date
11/13/2013
Last updated
11/13/2013
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