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Individual

ALYSSA PROTICH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
688 CEDAR CROSSINGS DR, NEW LENOX, IL 60451-5200
(815) 727-3030
Mailing address
22651 MARINA DR, PLAINFIELD, IL 60585-7991
(815) 545-3234

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
363AS0400X
Surgical Physician Assistant
Primary
085008054
IL

Other

Enumeration date
12/16/2020
Last updated
04/16/2026
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