Provider Demographics
NPI:1366961203
Name:HAND, MONICA LYNN (PA-C)
Entity type:Individual
Prefix:
First Name:MONICA
Middle Name:LYNN
Last Name:HAND
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1645 W SCHOOL ST APT 322
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-2155
Mailing Address - Country:US
Mailing Address - Phone:816-289-9805
Mailing Address - Fax:
Practice Address - Street 1:3749 W 95TH ST
Practice Address - Street 2:
Practice Address - City:EVERGREEN PARK
Practice Address - State:IL
Practice Address - Zip Code:60805-2019
Practice Address - Country:US
Practice Address - Phone:708-422-6569
Practice Address - Fax:708-499-1511
Is Sole Proprietor?:No
Enumeration Date:2017-09-12
Last Update Date:2018-03-17
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant