Scott Ahlstrom
NPI #1538628938 in Kenilworth, Illinois
Provider Information
- NPI Number
- 1538628938
- Entity Type
- Individual
- Name
- Scott Ahlstrom
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Medical
- Enumeration Date
- Mar 15, 2019
- Last Updated
- Mar 15, 2019
Practice Location
- Address
- 534 GREEN BAY RD
- City
- Kenilworth
- State
- Illinois
- ZIP Code
- 60043-1801
- Phone
- (847) 256-5505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Medical — Medical |
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