MRS. Amy M Willson, PAC

NPI #1467552505 in La Grange Highlands, Illinois

Provider Information

NPI Number: 1467552505
Entity Type: Individual
Name: MRS. Amy M Willson, PAC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PAC
Enumeration Date: Sep 25, 2006
Last Updated: Apr 9, 2008

Practice Location

Address: 5201 WILLOW SPRINGS RD
Address 2: SUITE 180
City: La Grange Highlands
State: Illinois
ZIP Code: 60525-6537
Phone: (708) 579-9705

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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