person
Laura M Vanselow, PA
Surgical Physician Assistant in Berwyn, Illinois
NPI 1588894182

Laura M Vanselow is a Surgical Physician Assistant based in Downers Grove, IL and is specialized in Surgical. Laura M Vanselow practices in Berwyn, IL and has the professional credentials of PA. The NPI Number for Laura M Vanselow is 1588894182 and holds a License No. 085.002209 (Illinois).

The current practice location address for Laura M Vanselow is 3231 S Euclid, Berwyn, IL and can be reached out via phone at 708-783-0244 and via fax at 708-783-0287.

Location: 3231 S Euclid, Berwyn, IL, 60515
person
Provider Profile Details
NPI Number
1588894182
Provider Name
Laura M Vanselow
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
3231 S Euclid, Berwyn, IL, 60515
Phone Number
708-783-0244
Fax Number
708-783-0287
Provider Enumeration Date
07/17/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1054932 01 NCCPA
institution
Provider Business Practice Location Address Details
Address
3231 S Euclid
City
State
Zip
60402
Phone Number
708-783-0244
Fax Number
708-783-0287
person
Provider Business Mailing Address Details
Address
3231 S Euclid
City
State
Zip
60402
Phone Number
708-783-0244
Fax Number
708-783-0287
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
085.002209 (Illinois)
Definition
Definition to come...
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