Individual provider · Type 1 NPI

Jill C. Georgen, PA-C

Physician Assistant · Grafton, WI

NPI number 1669092730 Active

Practice location

975 Port Washington Rd
Grafton, WI 53024-9201

Call (262) 329-1000 Map

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

10 Martin Ave Ste 225, Naperville, IL 60540-6590 · (630) 284-9118
32 Marengo Ave Unit B, Forest Park, IL 60130-1107 · (920) 574-1827

Specialties and licenses

Taxonomy	Code	License
Surgical Physician Assistant	363AS0400X	085.008000 (IL)
Physician Assistant Primary	363A00000X	5308 (WI)
Physician Assistant	363A00000X	085.008000 (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 1669092730

Jill C. Georgen, PA-C's National Provider Identifier is 1669092730, issued on Apr 19, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Grafton, WI. The record was last updated on Oct 10, 2025.