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Karen Fu

Physician Assistant in La Grange, IL. Individual provider (NPI-1).

NPI number1194354977
StatusActive
Last updated in NPPESMar 1, 2021

Details

NPI
1194354977
Entity type
Individual (NPI-1)
Name
Karen Fu
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 3, 2020
Certification date
Mar 1, 2021
Last updated
Mar 1, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant385006060ILYes

Practice location

31 E Ogden Ave Unit 118
La Grange, IL 60525-2095

Phone 720-470-6427

Mailing address

31 E Ogden Ave Unit 118
La Grange, IL 60525-2095

Phone 720-470-6427

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