| Stephanie Larios, PA-C | |
|
2490 Bushwood Dr, Elgin, IL 60124-7898 | |
| (224) 293-5200 | |
| Not Available |
| Full Name | Stephanie Larios |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 2490 Bushwood Dr, Elgin, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033633946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085006297 (Illinois) | Primary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Secondary |
| Entity Name | Access Community Health Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1982783692 PECOS PAC ID: 9537076112 Enrollment ID: O20031204000985 |
| Entity Name | Physicians Immediate Care North Chicago LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1205814118 PECOS PAC ID: 8729064159 Enrollment ID: O20040626000381 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Larios, PA-C 3211 W Belle Plaine Ave Apt 2a, Chicago, IL 60618-2326 Ph: Not Available | Stephanie Larios, PA-C 2490 Bushwood Dr, Elgin, IL 60124-7898 Ph: (224) 293-5200 |
Tonia C Hanson, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1425 N Randall Rd, Suite 404, Elgin, IL 60123 Phone: 224-783-8129 Fax: 224-783-2852 |
Kristian Ashley Green, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 N Randall Rd, Elgin, IL 60123 Phone: 815-398-9491 Fax: 815-381-7498 |
Mrs. Ashley L. Okigawa, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1710 N Randall Rd Ste 140, Elgin, IL 60123 Phone: 224-293-1170 Fax: 847-289-0960 |
Kendall Kane, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1600 N Randall Rd Ste 400, Elgin, IL 60123 Phone: 847-381-8899 Fax: 847-381-8999 |
Ms. Briana Painter, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1425 N Randall Rd, Elgin, IL 60123 Phone: 847-742-9800 |
Carrie R Anderson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 N Randall Rd, Elgin, IL 60123 Phone: 815-398-9491 |
Thomas J Lewandowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1550 N Randall Rd, Elgin, IL 60123 Phone: 815-398-9491 Fax: 815-381-7498 |