NPI 1144703992

Katelyn St Martin, PAC

Practitioner Physician Assistant Crystal Lake, IL

Practice location

Address: 420 N Il Route 31, Crystal Lake, IL 60012-3709
Phone: (815) 356-5200
Fax: (815) 356-5262

Registered specialties (2)

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085006852 (IL)

Other Physician Assistant providers in Illinois →

Surgical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AS0400X Licence 085-006852 (IL)

Registry record

NPI: 1144703992
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Sep 2018
Record last updated: 24 Apr 2023

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.