Individual
ERIN GRACE KINSELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
676 N SAINT CLAIR ST FL 19, CHICAGO, IL 60611-2927
(312) 695-8900
(312) 695-9194
Mailing address
676 N SAINT CLAIR ST FL 19, CHICAGO, IL 60611-2927
(312) 695-8900
(312) 695-9194
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006812
IL
Other
Enumeration date
11/07/2018
Last updated
08/17/2020
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