Karen Lynette Scurry in Chicago - Physician Assistant

Karen Lynette Scurry - NPI 1760504716

Karen Lynette Scurry is a Physician Assistant in Chicago, Illinois. Karen Lynette Scurry practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Karen Lynette Scurry is 1760504716. The last update date is 2023-03-07.

Karen Lynette Scurry's current location address is 3860 West Ogden Avenue, Chicago, Illinois. You can contact this provider via phone number 7738433000 and fax number 7738432704. The mailing address for Karen Lynette Scurry is 3860 West Ogden Avenue, Chicago, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Karen Lynette Scurry
Address 3860 West Ogden Avenue, Chicago, Illinois
Phone Number 7738433000
Fax Number 7738432704
Sole Proprietor N
Credentials PAC

NPI Number Detail

NPI Number 1760504716
Provider Enumeration Date 2007-04-03
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 3860 West Ogden Avenue
City Chicago
State Illinois (IL)
Post Code 60623
Phone Number 7738433000
Fax Number 7738432704

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No 85000939
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
85000939 IL STATE LICENSE
385000282 IL CS LICENSE
1034924 IL SPECIALTY BOARDS

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FAQs about Karen Lynette Scurry

What is the unique identifier code issued to Karen Lynette Scurry by the Centers for Medicare & Medicaid Services (CMS)?

The Karen Lynette Scurry has been assigned the NPI (National Provider Identifier) 1760504716. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Karen Lynette Scurry's facilities are geographically located?

The facilities of Karen Lynette Scurry are physically situated at the following location: 3860 West Ogden Avenue, Chicago, IL, 60623.

What is Karen Lynette Scurry's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Karen Lynette Scurry is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.

On what date did the Karen Lynette Scurry receive the assignment of its 1760504716 from the Centers for Medicare & Medicaid Services?

The Karen Lynette Scurry was issued its 1760504716 by the Centers for Medicare & Medicaid Services on 2007-04-03.

As of what date were the Karen Lynette Scurry's details last updated?

The information pertaining to the Karen Lynette Scurry, including its address, specialty, and other details, was most recently updated on 2023-03-07.

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