Individual
MS. KELSEY YORK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1415 W 47TH ST, LA GRANGE, IL 60525-6136
(708) 579-9375
(708) 579-9378
Mailing address
1415 W 47TH ST, LA GRANGE, IL 60525-6136
(708) 579-9375
(708) 579-9378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006010
IL
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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