Brad Lyn Hartwig, PA-C

NPI #1477597524 in Machesney Park, Illinois

Provider Information

NPI Number: 1477597524
Entity Type: Individual
Name: Brad Lyn Hartwig, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jun 16, 2006
Last Updated: Jan 16, 2008

Practice Location

Address: 11475 N 2ND ST
City: Machesney Park
State: Illinois
ZIP Code: 61115-1285
Phone: (815) 654-8000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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