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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 085.003096 | IL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Towee Inpatient Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.