Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. STACIE WHARTON, PA
Active Sole ProprietorMS. STACIE WHARTON, PA is a Physician Assistant healthcare provider located in WAUCONDA, Illinois. NPI 1639321482 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · WAUCONDA, IL
Registration Details
- NPI Number
- 1639321482
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 10, 2008 (17.831589557593 yrs)
- Last Updated
- Dec 10, 2015
- License
-
085003268 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
431 WEST LIBERTY STREETWAUCONDA, IL, 60084Browse IL providers · Browse ZIP 60084
- Phone
- 8475262151
- Fax
- 8156784184
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in WAUCONDA, IL
| Name | Credential | NPI |
|---|---|---|
| REBECCA A PATZER | PA-C | 1609994425 |
| MS. SUJATHA R GOGULA | PA | 1740431758 |
| MRS. KIMBERLY LYNN SWARBRICK | PA-C | 1174832257 |
| STEPHANIE SCHROEDER | PA-C | 1407153125 |
| CAITLIN KARAM KIM | — | 1881223345 |
| SHAILY GAUDANI | PA-C | 1174277305 |
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.