Individual provider · Type 1 NPI
Staci J. Ladowitz, PA
Medical Physician Assistant · Shiloh, IL
NPI number
1639711963
Active
Practice location
1418 Cross St, Ste 160
Shiloh, IL 62269-2914
Fax (618) 433-6492
Mailing address
PO Box 7412011
Chicago, IL 60674-2011
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 085007299 (IL) |
Medical Physician Assistant: Definition to come...
12 other providers at this address
- Protestant Memorial Medical Center, Inc.Community/Retail Pharmacy Shiloh, IL NPI 1154172211
- Alfred O. Greco, MDMedical Oncology Physician Shiloh, IL NPI 1073501607
- Amanda D. Allen, AGNPGerontology Nurse Practitioner Shiloh, IL NPI 1346999315
- Brett Howard Herzog, MD PHDMedical Oncology Physician Shiloh, IL NPI 1023499282
- Christina Lynn Wells, FNPFamily Nurse Practitioner Shiloh, IL NPI 1699144303
- Corey Austin Brooks, PAPhysician Assistant Shiloh, IL NPI 1134466485
- Jason Dole Lee, MDRadiation Oncology Physician Shiloh, IL NPI 1851618995
- John L. Visconti, DOMedical Oncology Physician Shiloh, IL NPI 1033167846
- Kilauren Carol McMahon, PAPhysician Assistant Shiloh, IL NPI 1912865445
- Paul Kogan, MDUrology Physician Shiloh, IL NPI 1023377736
- Susan J. Laduzinsky, MDRadiation Oncology Physician Shiloh, IL NPI 1942202155
- William James Popovic, MDMedical Oncology Physician Shiloh, IL NPI 1609824549
About NPI 1639711963
Staci J. Ladowitz, PA's National Provider Identifier is 1639711963, issued on Oct 8, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Shiloh, IL. The record was last updated on Apr 21, 2025.