Beth A Nance, PA-C
Physician Assistant in Chicago, IL. Individual provider (NPI-1).
NPI number1194249656
StatusActive
Last updated in NPPESNov 3, 2026
Details
- NPI
- 1194249656
- Entity type
- Individual (NPI-1)
- Name
- Beth A Nance
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 26, 2017
- Certification date
- Nov 3, 2026
- Last updated
- Nov 3, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 085012254 | IL | Yes |
| 363AM0700X | Physician Assistant, Medical | 4109-23 | WI |
Practice location
675 N Saint Clair St Ste 19-100Chicago, IL 60611-5969
Phone 312-664-3278 · Fax 312-695-5774
Mailing address
675 N Saint Clair St Ste 19-100Chicago, IL 60611-5969
Phone 312-664-3278 · Fax 312-695-5774
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