| Mr Douglas S Stevens, PA-C | |
|
12701 W 143rd St, Suite 200, Homer Glen, IL 60491-7715 | |
| (877) 694-7722 | |
| (815) 531-0055 |
| Full Name | Mr Douglas S Stevens |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 12701 W 143rd St, Homer Glen, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881673085 | NPI | - | NPPES |
| 085001302 | Other | IL | STATE LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085001302 (Illinois) | Secondary |
| 363A00000X | Physician Assistant | IL085-001302 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Douglas S Stevens, PA-C 12701 W 143rd St, Suite 200, Homer Glen, IL 60491-7715 Ph: (877) 694-7722 | Mr Douglas S Stevens, PA-C 12701 W 143rd St, Suite 200, Homer Glen, IL 60491-7715 Ph: (877) 694-7722 |
Timothy Ray Newcomb, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 14724 Edinburgh Ct, Homer Glen, IL 60491 Phone: 708-301-7981 Fax: 708-301-6765 | |
Jillian Crema, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 13036 Bramble Ct, Homer Glen, IL 60491 Phone: 773-671-5455 |