person
Alyssa Brie Ketchum, PA-C
Surgical Physician Assistant in Chicago, Illinois
NPI 1104200625

Alyssa Brie Ketchum is a Surgical Physician Assistant based in Chicago, IL and is specialized in Surgical. Alyssa Brie Ketchum practices in Chicago, IL and has the professional credentials of PA-C. The NPI Number for Alyssa Brie Ketchum is 1104200625 and holds a License No. 085005549 (Illinois).

The current practice location address for Alyssa Brie Ketchum is 676 N Saint Clair St Ste 1900, Chicago, IL and can be reached out via phone at 312-926-5354.

Location: 676 N Saint Clair St Ste 1900, Chicago, IL, 60611-2986
person
Provider Profile Details
NPI Number
1104200625
Provider Name
Alyssa Brie Ketchum
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
676 N Saint Clair St Ste 1900, Chicago, IL, 60611-2986
Phone Number
312-926-5354
Fax Number
Provider Enumeration Date
07/14/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
676 N Saint Clair St Ste 1900
City
State
Zip
60611-2986
Phone Number
312-926-5354
Fax Number
person
Provider Business Mailing Address Details
Address
676 N Saint Clair St Ste 1900
City
State
Zip
60611-2986
Phone Number
312-926-5354
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085005549 (Illinois)
Definition
Definition to come...
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