Individual
CAROLINA AYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3303 W 26TH ST, CHICAGO, IL 60623-4036
(480) 252-8331
Mailing address
3303 W 26TH ST, CHICAGO, IL 60623-4036
(480) 252-8331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
01/23/2018
Last updated
11/27/2023
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