Lookup NPI Numbers from the NPI Registry
NPI Profile for ALYSSA B KETCHUM in CHICAGO, IL.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Surgical |
363AS0400X | 97 | Physician Assistant |
| NPI Number | 1104200625 |
|
| Status | Active | |
| Credentials | PA-C (Physician Assistant-Certified) | |
| Entity | Individual | |
| Enumeration date | 07/14/2015 | |
| Last updated | 12/17/2018 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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ALYSSA B KETCHUM
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ALYSSA B KETCHUM, PA-C