Darcy Ituarte, PA-C

Individual provider Active NPI Physician Assistant · Rosemont, IL

NPI 1285030007 · NPPES record last updated Aug 14, 2019

Key facts

NPI
1285030007
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
9701 W Higgins Rd Ste 270
Rosemont, IL 60018-4703
Phone
(847) 653-0145
NPI assigned
Nov 5, 2014
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Medical Center Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X IL Yes

Addresses

Primary practice location

9701 W Higgins Rd Ste 270
Rosemont, IL 60018-4703

Mailing address

9701 W Higgins Rd Ste 270
Rosemont, IL 60018-4703

Other practice location 1

1100 Virginia Ave
Columbia, MO 65212
Phone (573) 882-1654

Other providers in Rosemont, IL

All providers in Rosemont, IL · Physician Assistant in Illinois

Sources for this page

Verify at the official NPI Registry.