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Individual

TERYN ELIZABETH HONEYCUTT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1124 ESSINGTON RD, JOLIET, IL 60435-8446
(815) 744-8554
Mailing address
1430 S MICHIGAN AVE, #PH6, CHICAGO, IL 60605-2960
(708) 646-8017

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-002283
IL
363AM0700X
Medical Physician Assistant
385-001166
IL

Other

Enumeration date
12/01/2006
Last updated
05/13/2010
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