Individual provider · Type 1 NPI

Mary Elizabeth Eterno, PA-C

Surgical Physician Assistant · Northbrook, IL

NPI number 1962266957 Active

Practice location

501 Skokie Blvd
Northbrook, IL 60062-2802

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice locations

  • 4900 N Cumberland Ave, Norridge, IL 60706-2901 · (708) 456-1600

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085010360 (IL)
Surgical Physician Assistant Primary 363AS0400X085010360 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1962266957

Mary Elizabeth Eterno, PA-C's National Provider Identifier is 1962266957, issued on Feb 9, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Northbrook, IL. The record was last updated on Dec 30, 2024.