JESSICA STOEBERL PA-C NPI 1780055285

NPI Information

NPI: 1780055285
Provider Name: JESSICA STOEBERL, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Organization: PRESENCE HEALTHCARE SERVICES

PECOS Registration: Yes

Address:
6703 W 159TH STREET
SUITE 110
TINLEY PARK, IL
ZIP 60477
Phone: (708) 331-1122
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Jessica Stoeberl, PA-C is a surgical physician assistant in Tinley Park, IL with 9 years of experience. Jessica Stoeberl, PA-C NPI is 1780055285. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6703 W 159TH STREET
SUITE 110
TINLEY PARK, IL
ZIP 60477
Phone: (708) 331-1122
Fax: (708) 331-5987

The NPI 1780055285 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/12/2015 and was last updated on 8/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	085.005695	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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