Individual
ASHTYN CHARLENE STANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
880 W CENTRAL RD STE 4100, ARLINGTON HEIGHTS, IL 60005-2383
(847) 618-4400
(847) 618-4409
Mailing address
880 W CENTRAL RD STE 4100, ARLINGTON HEIGHTS, IL 60005-2383
(847) 618-4400
(847) 618-4409
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA057179
PA
363AS0400X
Surgical Physician Assistant
Primary
085.005501
IL
Other
Enumeration date
09/19/2014
Last updated
07/21/2022
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