Carrie S Fortman, PAC

NPI #1336211549 in Elgin, Illinois

Provider Information

NPI Number
1336211549
Entity Type
Individual
Name
Carrie S Fortman, PAC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PAC
Enumeration Date
Nov 14, 2006
Last Updated
Mar 11, 2020

Practice Location

Address
1600 N RANDALL RD
City
Elgin
ZIP Code
60123
Phone
(847) 214-5100

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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