Individual
MACKENZIE ERIN POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
259 E ERIE ST FL 17, CHICAGO, IL 60611-2987
(312) 926-6000
Mailing address
259 E ERIE ST FL 17, CHICAGO, IL 60611-2987
(312) 926-6000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.006854
IL
363A00000X
Physician Assistant
54803
CA
Other
Enumeration date
10/15/2017
Last updated
02/25/2020
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