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Individual

EVA M CHWASTOWSKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
25 N WINFIELD RD, WINFIELD, IL 60190-1222
(630) 933-2113
(630) 933-4520
Mailing address
25 N WINFIELD RD FL 3, WINFIELD, IL 60190-1379
(630) 933-2113
(630) 933-4520

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002907
IL
363A00000X
Physician Assistant
PA9110584
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100288300
FL
01
206147
MEDICARE PTAN (GROUP)
IL
01
206147028
MEDICARE PTAN (INDIVIDUAL)
IL
Enumeration date
02/09/2007
Last updated
08/07/2025
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