Individual provider · Type 1 NPI

Carol Irene Branka, PAC

Medical Physician Assistant · Evanston, IL

NPI number 1750565677 Active

Practice location

355 Ridge Ave, Saint Rancis Hospital Physician Asssistance
Evanston, IL 60202-3328

Mailing address

405 N Wabash Ave, # 2607
Chicago, IL 60611-3591

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1750565677

Carol Irene Branka, PAC's National Provider Identifier is 1750565677, issued on Dec 27, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Evanston, IL. The record was last updated on Dec 27, 2007.