Individual provider · Type 1 NPI

Maryam Michelle Beintema, PA-C

Physician Assistant · Evanston, IL

NPI number 1912525932 Active

Practice location

633 Emerson St
Evanston, IL 60208-0844

Fax (847) 491-5919

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085008470 (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 1912525932

Maryam Michelle Beintema, PA-C's National Provider Identifier is 1912525932, issued on Jul 7, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Evanston, IL. The record was last updated on Aug 22, 2025.