NPI 1134121965

Makiko Ogino-Mcelligott, PAC

Practitioner Physician Assistant Crystal Lake, IL

Practice location

Address: 525 E Congress Pkwy 100, Crystal Lake, IL 60014-6245
Phone: (815) 479-8020

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085-001932 (IL)

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Registry record

NPI: 1134121965
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Aug 2005
Record last updated: 7 Jan 2017

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.