Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STACY A BAUM, P.A.
ActiveSTACY A BAUM, P.A. is a Physician Assistant healthcare provider located in SOUTH ELGIN, Illinois. NPI 1386899458 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · SOUTH ELGIN, IL
Registration Details
- NPI Number
- 1386899458
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 17, 2008 (17.715579737228 yrs)
- Last Updated
- Jun 18, 2018
- Licenses
-
085.003350 (IL)085003350 (IL)
Practice Information
- Address
-
552 RANDALL RDSOUTH ELGIN, IL, 60177Browse IL providers · Browse ZIP 60177
- Phone
- 6303156700
- Fax
- 6303156699
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in SOUTH ELGIN, IL
| Name | Credential | NPI |
|---|---|---|
| JESSICA RAE SHANAHAN | PA-C | 1811332240 |
| RICHARD GARCIA | — | 1972469484 |
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.