Individual provider · Type 1 NPI

Amanda M. Stucky, PA-C

Physician Assistant · Libertyville, IL

NPI number 1871803387 Active

Practice location

801 S Milwaukee Ave
Libertyville, IL 60048-3204

Fax (414) 290-6755

Mailing address

111 E Wisconsin Ave, Suite 2000
Milwaukee, WI 53202-4815

Specialties and licenses

TaxonomyCodeLicense
Registered Dietitian 133V00000XNone listed
Physician Assistant Primary 363A00000X085.005523 (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 1871803387

Amanda M. Stucky, PA-C's National Provider Identifier is 1871803387, issued on Oct 18, 2010. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Libertyville, IL. The record was last updated on Dec 8, 2021.