Individual provider · Type 1 NPI

Douglas Alan Willaman, PA-C

Physician Assistant · Evanston, IL

NPI number 1679619357 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Fax (847) 733-5108

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XMA002258L (PA)
Physician Assistant Primary 363A00000X085003064 (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 1679619357

Douglas Alan Willaman, PA-C's National Provider Identifier is 1679619357, issued on Jan 29, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Mar 19, 2026.