DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: ANASTASIYA PENTYA PA-C

MEDICARE: ANASTASIYA PENTYA PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant

General Provider Information

NPI Number : 1114753290
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIYA PENTYA PA-C
Provider Business Mailing Address
First Line : 2718 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5910
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2718 W ROSCOE ST
Second Line :
City : CHICAGO
State : IL
Zip : 60618-5910
Country : US
Telephone Number : 773-541-1623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2024
Last Update Date : 09/13/2024

Similar Medicare Providers

1497602312 — ASHLIE M BRIGHT APRN, FNP-C
Practice Location Address:
2718 W ROSCOE ST
CHICAGO, IL
60618-5910
Practice Phone: 888-556-8226
Practice Fax:
1184341869 — KRISTEN RENAE BOWEN NP
Practice Location Address:
2718 W ROSCOE ST
CHICAGO, IL
60618-5910
Practice Phone: 773-961-3000
Practice Fax:
1699526798 — HALEY HUNTER
Practice Location Address:
2718 W ROSCOE ST
CHICAGO, IL
60618-5910
Practice Phone: 773-961-3000
Practice Fax:
1558247163 — COURTENAY CHAREICE SPEARS PA-S
Practice Location Address:
2718 W ROSCOE ST
CHICAGO, IL
60618-5910
Practice Phone: 773-961-3000
Practice Fax:
1497628549 — JENNY NGUYEN PA-C
Practice Location Address:
2718 W ROSCOE ST
CHICAGO, IL
60618-5910
Practice Phone: 773-961-3000
Practice Fax:
1801769468 — MACKENZIE GRACE JENSEN PA-C
Practice Location Address:
2718 W ROSCOE ST
CHICAGO, IL
60618-5910
Practice Phone: 773-961-3000
Practice Fax:

Directions to “ ANASTASIYA PENTYA PA-C” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.