| Ms Stacie Wharton, PA | |
|
431 West Liberty Street, Wauconda, IL 60084 | |
| (847) 526-2151 | |
| (815) 678-4184 |
| Full Name | Ms Stacie Wharton |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 431 West Liberty Street, Wauconda, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639321482 | NPI | - | NPPES |
| 085003268 | Other | IL | STATE OF ILLINOIS LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085003268 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Stacie Wharton, PA 329 Remington Blvd, Unit 205, Bolingbrook, IL 60440-5827 Ph: (630) 226-1130 | Ms Stacie Wharton, PA 431 West Liberty Street, Wauconda, IL 60084 Ph: (847) 526-2151 |
Shaily Gaudani, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 | |
Mrs. Kimberly Lynn Swarbrick, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Stephanie Schroeder, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Mr. Kenneth Degner, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Rebecca A Patzer, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 847-526-2017 | |
Ms. Sujatha R Gogula, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 431 W Liberty St, Wauconda, IL 60084 Phone: 847-526-2151 Fax: 815-678-4184 |