Individual
CASSIDY ANN STANAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(888) 824-0200
Mailing address
491 COCHRAN DR, CROWN POINT, IN 46307-2367
(219) 308-5978
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085012035
IL
363A00000X
Physician Assistant
Primary
NA
IL
Other
Enumeration date
01/15/2026
Last updated
08/05/2026
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