NPI 1003141995

Marina Gershteyn, PAC

Practitioner Physician Assistant Chicago, IL

Practice location

Address: 5600 W Addison St STE 306, Chicago, IL 60634-4468
Phone: (773) 283-8664
Fax: (773) 283-8688
Mailing address: 4953 Wright Ter, Skokie, IL 60077-2340

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085-003534 (IL)

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Registry record

NPI: 1003141995
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2009
Record last updated: 29 Apr 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.