Individual
MARY ELIZABETH ETERNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
501 SKOKIE BLVD, NORTHBROOK, IL 60062-2802
(847) 504-3300
Mailing address
2650 RIDGE AVE STE 1223, EVANSTON, IL 60201-1700
(847) 570-2040
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085010360
IL
363AS0400X
Surgical Physician Assistant
Primary
085010360
IL
Other
Enumeration date
02/09/2024
Last updated
12/30/2024
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