Individual
MS. KACEY LYNN DAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1230 W LAKE ST, CHICAGO, IL 60607-1602
(312) 666-0028
(312) 666-5214
Mailing address
1230 W LAKE ST, CHICAGO, IL 60607-1602
(312) 666-0028
(312) 666-5214
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-003132
IL
Other
Enumeration date
05/30/2008
Last updated
10/16/2013
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