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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACYLYN DENISE WAHL, MPAS, PA-C

Active

JACYLYN DENISE WAHL, MPAS, PA-C is a Physician Assistant healthcare provider located in LIBERTYVILLE, Illinois. NPI 1245715309 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · LIBERTYVILLE, IL

Registration Details

NPI Number
1245715309
Provider Type
Individual
Gender
Female
NPI Issued
Sep 25, 2018 (7.8486367507105 yrs)
Last Updated
Jan 27, 2021
License
4815 (WI)

Practice Information

Address
150 E COOK AVE STE 100
LIBERTYVILLE, IL, 600482060
Browse IL providers · Browse ZIP 60048
Phone
8472323342
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in LIBERTYVILLE, IL

Name Credential NPI
IGOR YALOVETSKIY PA C 1801884283
MS. WENDY A FREDERICK PA-C 1811198690
DANA ARCHER PA-C 1598958282
MS. ELIZABETH K BARUFFI PA-C 1477749430
RON-GRAN PINEDA APILADO PA 1073779088
LAURA M IRBY PA-C 1962668590
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.