Healthcare Provider Details

I. General information

NPI: 1295393403
Provider Name (Legal Business Name): PATRICK JOSEPH LESTER PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: PATRICK LOZY-LESTER

II. Dates (important events)

Enumeration Date: 06/03/2019
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24600 W 127TH ST
PLAINFIELD IL
60585-9507
US

IV. Provider business mailing address

2650 RIDGE AVE STE 1223
EVANSTON IL
60201-1700
US

V. Phone/Fax

Practice location:
  • Phone: 630-646-7000
  • Fax:
Mailing address:
  • Phone: 847-982-3363
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number085008809
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: