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NPI Code Detail

MEDICARE: NANCY PADILLA PA-C

MEDICARE: NANCY PADILLA 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 Assistant085.011759IL

General Provider Information

NPI Number : 1831058783
Entity Type Code : Individual
Provider Name (Legal Business Name) : NANCY PADILLA PA-C
Provider Business Mailing Address
First Line : 6239 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2609
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6239 S ARCHER AVE
Second Line :
City : CHICAGO
State : IL
Zip : 60638-2609
Country : US
Telephone Number : 630-581-5372
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/16/2026
Last Update Date : 01/16/2026

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Directions to “ NANCY PADILLA PA-C” Practice Location

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