Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
GRACE-MARIE MARTINA OTTOMANELLI, PA-C
Active Sole ProprietorGRACE-MARIE MARTINA OTTOMANELLI, PA-C is a Physician Assistant healthcare provider located in GENEVA, Illinois. NPI 1457756272 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GENEVA, IL
Registration Details
- NPI Number
- 1457756272
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 23, 2014 (11.792958159601 yrs)
- Last Updated
- Jan 16, 2023
- License
-
085.005311 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2425 FARGO BLVDGENEVA, IL, 601343591Browse IL providers · Browse ZIP 60134
- Phone
- 6302322200
- Fax
- 6302321940
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GENEVA, IL
| Name | Credential | NPI |
|---|---|---|
| JESSICA J CLARK | PA C | 1073505442 |
| JENNIFER BOLANDER | — | 1942271655 |
| SCOTT CT MCKAY | P.A. | 1417928110 |
| COLLEEN BIRD | PA | 1356367601 |
| JAMES SCHILTZ | MD | 1265442370 |
| DEAN PAUL BIENIAK | PA-C | 1386724581 |
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.