Individual provider · Type 1 NPI

Brittany Waclaw, PA-C

Surgical Physician Assistant · Chicago, IL

NPI number 1174907646 Active

Practice location

3000 N Halsted St Ste 500
Chicago, IL 60657-5194

Call (773) 477-4343 Map

Mailing address

2650 Warrenville Rd, Suite 280
Downers Grove, IL 60515-1748

Other practice locations

  • 3231 Euclid Ave, Suite 200, Berwyn, IL 60402-3471 · (708) 783-7025

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X085005504 (IL)

Surgical Physician Assistant: Definition to come...

2 other providers at this address

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About NPI 1174907646

Brittany Waclaw, PA-C's National Provider Identifier is 1174907646, issued on Jul 15, 2015. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Chicago, IL. The record was last updated on Mar 30, 2021.