Individual
MS. STACIE WHARTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
431 WEST LIBERTY STREET, WAUCONDA, IL 60084
(847) 526-2151
(815) 678-4184
Mailing address
329 REMINGTON BLVD, UNIT 205, BOLINGBROOK, IL 60440-5827
(630) 226-1130
(360) 226-1134
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003268
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085003268
STATE OF ILLINOIS LICENSE
IL
Enumeration date
10/10/2008
Last updated
12/10/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us