NPI 1063779270

Stephanie J Cermak, PAC

Practitioner Physician Assistant Evergreen Park, IL

Practice location

Address: 2850 W. 95th Street Suite 400, Evergreen Park, IL 60805
Phone: (708) 424-7600
Fax: (708) 424-7605

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085.004228 (IL)

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Registry record

NPI: 1063779270
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Apr 2012
Record last updated: 25 Nov 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.