Individual
MARY KATHERYN AUKSTIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2211 N OAK PARK AVE, CHICAGO, IL 60707
(773) 622-5400
Mailing address
2211 N OAK PARK AVE, CHICAGO, IL 60707-3351
(773) 622-5400
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070014405
IL
363AM0700X
Medical Physician Assistant
085003587
IL
363AS0400X
Surgical Physician Assistant
Primary
085003587
IL
Other
Enumeration date
03/07/2007
Last updated
05/30/2019
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