Individual
ASHLEY B DEICHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(866) 600-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085007384
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085007384
—
IL
Enumeration date
01/03/2020
Last updated
11/10/2021
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