Individual
KAREN LYNETTE SCURRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
3860 WEST OGDEN AVENUE, CHICAGO, IL 60623
(773) 843-3000
(773) 843-2704
Mailing address
3860 WEST OGDEN AVENUE, CHICAGO, IL 60623
(773) 843-3000
(773) 843-2704
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000939
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085000939
STATE LICENSE
IL
01
—
1034924
SPECIALTY BOARDS
IL
01
—
385000282
CS LICENSE
IL
Enumeration date
04/03/2007
Last updated
03/07/2023
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