Doctor Name: | ANDREA LAUREN NAVRATIL |
NPI Number: | 1053768556 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 1423 Chicago Rd Chicago Heights, IL - 604113400 |
Business Phone Number: | 7087561000 |
Business Fax Number: | |
Mailing Address: | 4535 Dressler Rd Nw, CANTON |
State: | OH |
Postal Code: | 447182545 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 05/16/2016 |
NPI Last Update Date: | 05/16/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |