Individual
ANNA KAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21481 N RAND RD, KILDEER, IL 60047-3061
(847) 618-9655
(847) 618-9654
Mailing address
21481 N RAND RD, KILDEER, IL 60047-3061
(847) 618-9655
(847) 618-9654
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085001852
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085001852
STATE LICENSE
IL
Enumeration date
10/28/2011
Last updated
04/30/2021
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