Addie Auyeung, PA

Individual provider Active NPI Surgical Physician Assistant · Chicago, IL

NPI 1992969240 · NPPES record last updated Jul 16, 2008

Key facts

NPI
1992969240
Entity type
Individual (NPI type 1)
Primary specialty
Surgical Physician Assistant 363AS0400X
License
085.003096 (IL)
Practice address
2320 E 93Rd St
Chicago, IL 60617-3983
Phone
(773) 967-4150
Fax
(773) 967-4138
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.003096ILMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Towee Inpatient Services LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 085.003096 IL Yes

Addresses

Primary practice location

2320 E 93Rd St
Chicago, IL 60617-3983

Mailing address

2320 E 93Rd St
Chicago, IL 60617-3983
Phone (773) 967-4150

Other providers in Chicago, IL

All providers in Chicago, IL · Surgical Physician Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.