Ronie Dana Vardy

NPI #1720615321 in Long Grove, Illinois

Provider Information

NPI Number: 1720615321
Entity Type: Individual
Name: Ronie Dana Vardy
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physician Assistant
Enumeration Date: Mar 24, 2020
Last Updated: Mar 24, 2020

Practice Location

Address: 6852 INDIAN CREEK RD
City: Long Grove
State: Illinois
ZIP Code: 60047-5110
Phone: (847) 287-3747

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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