Individual provider · Type 1 NPI

Lauran Claire Deceault, PA-C

Physician Assistant · Chicago, IL

NPI number 1063808822 Active

Practice location

250 E Superior St Fl 16
Chicago, IL 60611-2914

Call (312) 472-3665 Map

Fax (312) 472-4223

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Physician Assistant Primary 363A00000X085005901 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1063808822

Lauran Claire Deceault, PA-C's National Provider Identifier is 1063808822, issued on Apr 8, 2015. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Oct 23, 2025.