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

MS. STACI J LADOWITZ, PA

Active

MS. STACI J LADOWITZ, PA is a Medical Physician Assistant healthcare provider located in SHILOH, Illinois. NPI 1639711963 is currently active in the NPPES registry. Verify at CMS.

Medical Physician Assistant · SHILOH, IL

Registration Details

NPI Number
1639711963
Provider Type
Individual
Gender
Female
NPI Issued
Oct 8, 2019 (6.8384975449096 yrs)
Last Updated
Apr 21, 2025
License
085007299 (IL)

Practice Information

Address
1418 CROSS ST
STE 160
SHILOH, IL, 622692914
Browse IL providers · Browse ZIP 62269
Phone
6186071340
Fax
6184336492
Primary Specialty
Medical Physician Assistant
363AM0700X
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.