Individual provider · Type 1 NPI

Aidan Kennedy Stavros, PA-C

Physician Assistant · Chicago, IL

NPI number 1962026450 Active

Practice location

1611 W Harrison St Ste 400
Chicago, IL 60612-4861

Call (877) 632-6637 Map

Fax (708) 409-5179

Mailing address

PO Box 735263
Chicago, IL 60673-5263

Other practice locations

  • 9200 Calumet Ave Ste 300, Munster, IN 46321-2885 · (877) 632-6637

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X10004381A (IN)
Physician Assistant Primary 363A00000X085008407 (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 1962026450

Aidan Kennedy Stavros, PA-C's National Provider Identifier is 1962026450, issued on Jun 1, 2020. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on May 15, 2024.