Individual provider · Type 1 NPI

Taryn Ashley McKenna, PA-C

Surgical Physician Assistant · Evanston, IL

NPI number 1700403813 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Call (847) 570-2000 Map

Fax (847) 570-2930

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X085008406 (IL)
Surgical Physician Assistant Primary 363AS0400X085008406 (IL)

Surgical Physician Assistant: Definition to come...

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About NPI 1700403813

Taryn Ashley McKenna, PA-C's National Provider Identifier is 1700403813, issued on Jul 6, 2020. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Evanston, IL. The record was last updated on Mar 24, 2026.