Laura Wyatt
Laura Wyatt is a Physician Assistant in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.
- Licensed in
- IL
- In the registry since
- 2007
Practice location Address checks out
500 E 51st St Ofc 7021 Provident Hospital Of Cook CountyChicago, IL 60615-2400
Phone: (312) 572-2647
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 085-001182 (IL) |
|---|
Record details
| NPI number | 1639297302 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | May 4, 2021 |
| Certification date | May 4, 2021 |
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