Individual provider · Type 1 NPI
Mackenzie Shallenberger, PA
Physician Assistant · Pittsfield, IL
Practice location
640 W Washington St
Pittsfield, IL 62363-1350
Fax (217) 285-5126
Mailing address
2650 Warrenville Rd Ste 280
Downers Grove, IL 60515-2075
Other practice locations
- 2650 Warrenville Rd, Ste. 280, Downers Grove, IL 60515-1748 · (630) 324-7900
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | 085-004155 (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 1942573001
Mackenzie Shallenberger, PA's National Provider Identifier is 1942573001, issued on Feb 20, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Pittsfield, IL. The record was last updated on Oct 21, 2026.