Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL PENDERGAST JR., PA-C
Active Sole ProprietorMICHAEL PENDERGAST JR., PA-C is a Physician Assistant healthcare provider located in ROSEMONT, Illinois. NPI 1427525666 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · ROSEMONT, IL
Registration Details
- NPI Number
- 1427525666
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 25, 2018 (7.7925706438462 yrs)
- Last Updated
- Oct 20, 2021
- License
-
085006827 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9701 W HIGGINS RD STE 270ROSEMONT, IL, 600184703Browse IL providers · Browse ZIP 60018
- Phone
- 8476923715
- Fax
- 8159864218
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in ROSEMONT, IL
| Name | Credential | NPI |
|---|---|---|
| DARCY ITUARTE | PA-C | 1285030007 |
| AMANI JAMIL ELAYAN | — | 1013482777 |
| GREGORY JON TAYCHER | — | 1568920601 |
| SONAM TANTUWAYA | PA-C | 1114578499 |
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.