Individual
MICHELLE DAWN OVANDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
18425 W CREEK DR, STE F, TINLEY PARK, IL 60477-6767
(708) 444-8300
(708) 444-8301
Mailing address
18425 W CREEK DR, STE F, TINLEY PARK, IL 60477-6767
(708) 444-8300
(708) 444-8301
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-02017
IL
Other
Enumeration date
08/30/2007
Last updated
12/09/2021
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