Individual provider · Type 1 NPI

Jillian Marie Wickham, PA-C

Physician Assistant · Chicago, IL

NPI number 1740929579 Active

Practice location

675 N Saint Clair St Ste 21-100
Chicago, IL 60611-5970

Call (312) 695-0990 Map

Fax (312) 695-1106

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085012350 (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 1740929579

Jillian Marie Wickham, PA-C's National Provider Identifier is 1740929579, issued on May 31, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Sep 23, 2026.