Individual provider · Type 1 NPI
Ethan Hixson, PA-C
Medical Physician Assistant · Chicago, IL
NPI number
1194882548
Active
Practice location
250 E Superior St, Prentice, 4-420
Chicago, IL 60611-2914
Fax (312) 472-4781
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1194882548
Ethan Hixson, PA-C's National Provider Identifier is 1194882548, issued on Jan 3, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on Mar 6, 2008.