Individual provider · Type 1 NPI

Joseph Wabomnor, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1114782976 Active

Practice location

654 E 47th St
Chicago, IL 60653-4224

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1114782976

Joseph Wabomnor, PA-C's National Provider Identifier is 1114782976, issued on Feb 20, 2024. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Apr 9, 2025.