| Stacey Illyse Becker, PA-C | |
|
757 Park Ave W, Highland Park, IL 60035-2556 | |
| (847) 570-2112 | |
| (847) 480-3805 |
| Full Name | Stacey Illyse Becker |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 23 Years |
| Location | 757 Park Ave W, Highland Park, Illinois |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457552507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085002026 (Illinois) | Primary |
| 363AS0400X | Physician Assistant - Surgical | 085-002026 (Illinois) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Endeavor Health Clinical Operations | Evanston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Endeavor Health Medical Group | 2163334699 | 3330 |
| Entity Name | Endeavor Health Medical Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497701882 PECOS PAC ID: 2163334699 Enrollment ID: O20040524000118 |
| Mailing Address | Practice Location Address |
|---|---|
| Stacey Illyse Becker, PA-C 2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700 Ph: (847) 570-2040 | Stacey Illyse Becker, PA-C 757 Park Ave W, Highland Park, IL 60035-2556 Ph: (847) 570-2112 |
Olivia Kathryn Mason, PA-C Physician Assistant Medicare: May Accept Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-432-9000 |
Rebecca F Nishimoto, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-926-5844 |
Melissa Kate Modro, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W Ste B131a, Highland Park, IL 60035 Phone: 847-926-8584 Fax: 847-926-5351 |
Ms. Iris Nunag, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Department Of Surgery, Highland Park, IL 60035 Phone: 847-926-5844 |
Emily Anne Kohler, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-432-8000 |
Angela Marie Pecora, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 777 Park Ave W, Highland Park, IL 60035 Phone: 847-432-8000 |
Brittany Elizabeth Van Kampen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 737 Saint Johns Ave, Highland Park, IL 60035 Phone: 847-805-8088 |