NPI 1043054828

Amber Marie Haas, PAC

Practitioner Physician Assistant North Chicago, IL

Practice location

Address: 3333 Green Bay Rd, North Chicago, IL 60064-3037
Phone: (802) 730-4182
Mailing address: 1139 Weeping Willow Ln, Libertyville, IL 60048-3559

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Registry record

NPI: 1043054828
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jun 2024
Record last updated: 25 Jun 2024

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.