Individual provider · Type 1 NPI

Jennifer Amanda Elisco, PA-C

Physician Assistant · Evanston, IL

NPI number 1710735931 Active

Practice location

2650 Ridge Ave
Evanston, IL 60201-1700

Call (847) 570-2114 Map

Fax (847) 570-1223

Mailing address

2650 Ridge Ave Ste 1223
Evanston, IL 60201-1700

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085011286 (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 1710735931

Jennifer Amanda Elisco, PA-C's National Provider Identifier is 1710735931, issued on May 13, 2024. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Sep 2, 2025.