Individual provider · Type 1 NPI

Maddalena Fairchild

Physician Assistant · Roanoke, IL

NPI number 1790644383 Active

Practice location

401 N Main St
Roanoke, IL 61561-7585

Call (309) 923-2661 Map

Mailing address

2970 Briarwood Ln
Titusville, FL 32796-1689

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.011960 (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 1790644383

Maddalena Fairchild's National Provider Identifier is 1790644383, issued on Jan 19, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Roanoke, IL. The record was last updated on Jan 19, 2026.