IndividualActive
Aidan Stavros, PA-C
NPI 1962026450 · Physician Assistant · Chicago, IL
Provider details
- NPI number
- 1962026450
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- 10004381A (IN)
Practice location
1611 W Harrison St Ste 400
Chicago, IL 60612-4861
Phone: (877) 632-6637
Fax: (708) 409-5179
Mailing address
Po Box 735263
Chicago, IL 60673-5263
Registry dates
- Enumerated
- 2020-06-01
- Last updated
- 2024-05-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.