Individual
MRS. HANNAH KATHERINE FOLLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
(872) 588-3001
Mailing address
3860 W OGDEN AVE, CHICAGO, IL 60623-2460
(872) 588-3000
(872) 588-3001
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003401
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003401
STATE LICENSE
IL
01
—
1083756
SPECIALTY BOARDS
IL
01
—
385002224
CS LICENSE
IL
Enumeration date
11/18/2008
Last updated
03/07/2023
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