Individual
VANESSA LYNN DYBALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1786 MOON LAKE BLVD STE 100, HOFFMAN ESTATES, IL 60169-1016
(847) 882-9300
(847) 882-9348
Mailing address
1786 MOON LAKE BLVD STE 100, HOFFMAN ESTATES, IL 60169-1016
(847) 882-9300
(847) 882-9348
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085001122
IL
Other
Enumeration date
07/11/2006
Last updated
01/29/2020
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