IndividualActive
Brittany Waclaw, PA-C
NPI 1174907646 · Surgical Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1174907646
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 085005504 (IL)
Practice location
3000 N Halsted St Ste 500
Chicago, IL 60657-5194
Phone: (773) 477-4343
Mailing address
2650 Warrenville Rd
Downers Grove, IL 60515-1748
Registry dates
- Enumerated
- 2015-07-15
- Last updated
- 2021-03-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.