IndividualActive
Annie Pauwaa, PA-C
NPI 1124069778 · Surgical Physician Assistant · Oak Lawn, IL
Provider details
- NPI number
- 1124069778
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10000903A (IN)
Practice location
4400 W 95th St Ste 308
Oak Lawn, IL 60453-2660
Phone: (708) 346-4040
Fax: (708) 346-3287
Mailing address
9500 Bormet Dr Ste 204
Mokena, IL 60448-8399
Registry dates
- Enumerated
- 2006-06-08
- Last updated
- 2021-12-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.