Individual provider · Type 1 NPI

Kevin Randall Wright, PA-C

Surgical Physician Assistant · Elmhurst, IL

NPI number 1104813849 Active

Practice location

1200 S York St Ste 2000
Elmhurst, IL 60126-5634

Call (630) 646-7000 Map

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Other practice locations

  • 120 Spalding Dr Ste 400, Naperville, IL 60540-6559 · (630) 967-2225

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085002508 (IL)
Physician Assistant 363A00000X085002508 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1104813849

Kevin Randall Wright, PA-C's National Provider Identifier is 1104813849, issued on Sep 27, 2005. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Elmhurst, IL. The record was last updated on Mar 26, 2026.