Julia Jean Felix, PA-C
Individual provider Active NPI Physician Assistant · Park City, IL
NPI 1518267673 · NPPES record last updated Jul 5, 2023
Key facts
- NPI
- 1518267673
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 085-003803 (IL)
- Practice address
- 401 S Greenleaf St Ste 1
Park City, IL 60085-5744 - Phone
- (847) 662-0978
- Fax
- (847) 662-1395
- NPI assigned
- Oct 22, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120306000618 | IL | Practitioner - Physician Assistant | 1658530969 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-003803 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen J. Clark M.D.,P.C. | Current |
Accepting new patients |
Locations
3021 Falling Waters Blvd
Ste A
Lindenhurst, IL 60046
Phone (847) 356-9300
Interoperability endpoints
- jfelix306182@direct.myadvocateaurora.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-003803 | IL | Yes |
Addresses
Primary practice location
401 S Greenleaf St Ste 1
Park City, IL 60085-5744
Mailing address
401 Greenleaf St Ste 1
Park City, IL 60085-5744
Phone (847) 662-0978
Other providers in Park City, IL
- County of Lake
- County of Lake
- Sujata De
- William G Dracos
- Family Foot and Ankle Surgeons of Illinois, LLC
- Bonnie Finn
- Florian Chiropractic Center LLC
- Lynn M Florian
- Asha Gandhi
- Kavitha Gandhi
All providers in Park City, IL · Physician Assistant in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 5, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.