Individual provider · Type 1 NPI

Diana Grace Meyer, PA-C

Medical Physician Assistant · Evergreen Park, IL

NPI number 1508779034 Active

Practice location

2800 W 95th St
Evergreen Park, IL 60805-2701

Call (708) 422-6200 Map

Mailing address

353 S Ferry Dr
Lake Mills, WI 53551-1526

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085-012529 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1508779034

Diana Grace Meyer, PA-C's National Provider Identifier is 1508779034, issued on Sep 25, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Evergreen Park, IL. The record was last updated on Sep 25, 2026.