Individual provider · Type 1 NPI

Evan Michael Whitenack, PA-C

Surgical Physician Assistant · Chicago, IL

NPI number 1275988438 Active

Practice location

1611 W Harrison St
Chicago, IL 60612-4861

Call (224) 254-6076 Map

Mailing address

2141 W Evergreen Ave
Chicago, IL 60622-3016

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400XNone listed

Surgical Physician Assistant: Definition to come...

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About NPI 1275988438

Evan Michael Whitenack, PA-C's National Provider Identifier is 1275988438, issued on Apr 25, 2016. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Apr 25, 2016.