Individual provider Active NPI

Julia Ann Edwards, PA-C

  • Medical Physician Assistant
  • Elgin, IL
National Provider Identifier
1568022614
Registry record updated Feb 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
085.007100 Issued in IL
Practice address
431 Summit St
Elgin, IL 60120-3805
Phone
(847) 289-8822
Fax
(847) 289-0815
NPI assigned
Jun 19, 2019
Last updated
Feb 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 085.007100 IL Primary

Addresses

Primary practice location

431 Summit St
Elgin, IL 60120-3805

Mailing address

431 Summit St
Elgin, IL 60120-3805
Phone (847) 289-8822

Other names 1

  • Miss Julia Ann Marks Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190819000693 IL Practitioner - Physician Assistant 1658609490 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cermak Medical Group LLCGroup PAC ID 7113269242, 21 clinicians

Practice addresses (Care Compare)

1669 Algonquin Rd
Rolling Meadows, IL 60008-4290
Phone (847) 258-4500

2380 S Elmhurst Rd
Mt Prospect, IL 60056-5805
Phone (708) 222-0100

5741 W Cermak Rd
Cicero, IL 60804-2129
Phone (708) 222-0100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.007100ILMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Pain Treatment Institute, LTD CurrentSince Oct 1, 2023 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 11, 2019 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Sep 11, 2019 Accepting new patients
Illinois Pain Treatment Institute, LTD CurrentSince Oct 1, 2023 Accepting new patients
Barrington Pain and Spine Institute, LLC Past Accepting new patients

Locations

600 Hart Rd
Ste 320
Barrington, IL 60010
Phone (847) 852-2000

Dept 5777
Carol Stream, IL 60122

675 N Saint Clair St
Fl 10
Chicago, IL 60611
Phone (312) 664-3278

675 N Saint Clair St
Ste 10160
Chicago, IL 60611

22285 N Pepper Rd
Ste 302
Lake Barrington, IL 60010
Phone (847) 726-0774

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

4309 W Medical Center Dr
Ste B103
McHenry, IL 60050
Phone (815) 363-9595

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

Organizations & group practices 7

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708992000000",
    "number": "1568022614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "431 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203805",
            "telephone_number": "847-289-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 SUMMIT ST",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601203805",
            "telephone_number": "847-289-8822",
            "fax_number": "847-289-0815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "JULIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-19",
        "last_updated": "2024-02-27",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IL",
            "license": "085.007100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "MARKS",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.