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

MRS. JESSICA M WACHTEL, PA

Active

MRS. JESSICA M WACHTEL, PA is a Physician Assistant healthcare provider located in WATERLOO, Illinois. NPI 1306829775 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WATERLOO, IL

Registration Details

NPI Number
1306829775
Provider Type
Individual
Gender
Female
NPI Issued
Nov 21, 2005 (20.703312108592 yrs)
Last Updated
May 9, 2017
License
085002375 (IL)

Practice Information

Address
509 HAMACHER STREET
SUITE 102
WATERLOO, IL, 62298
Browse IL providers · Browse ZIP 62298
Phone
6189393939
Fax
6189393941
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in WATERLOO, IL

Name Credential NPI
MR. CRAIG S STEWART PA 1568472892
MR. ALAN MICHAEL MEREDITH PAC 1053656298
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.