SearchIllinois363A00000X

Michelle Willis, PA-C

NPI 1598879884 · on the registry since 2006

Practice

Address
2701 W 68th St
Chicago, IL 60629
Phone
(773) 884-4010
Organisation at this address
Jcare Ltd
Shah Alam Pc
Hari Agrawal Md Sc
Holy Cross Hospital
Holy Cross Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
IL, CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-10-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois