Individual provider · Type 1 NPI

Krista Decoursey Washburn, PA-C

Medical Physician Assistant · Chicago, IL

NPI number 1538538129 Active

Practice location

5140 N California Ave, Suite 780
Chicago, IL 60625-3645

Fax (773) 907-3245

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085.005580 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1538538129

Krista Decoursey Washburn, PA-C's National Provider Identifier is 1538538129, issued on Sep 24, 2015. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Chicago, IL. The record was last updated on May 9, 2016.