Individual provider · Type 1 NPI

McKenna Black, PA-C

Physician Assistant · Chicago, IL

NPI number 1376387472 Active

Practice location

1620 W Harrison St
Chicago, IL 60612-3801

Call (312) 942-5000 Map

Mailing address

3535 Olentangy River Rd
Columbus, OH 43214-3908

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.011527 (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 1376387472

McKenna Black, PA-C's National Provider Identifier is 1376387472, issued on Jun 24, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 10, 2025.