Diana Grace Meyer, PA-C
Physician Assistant, Medical in Evergreen Park, IL. Individual provider (NPI-1).
NPI number1508779034
StatusActive
Last updated in NPPESSep 25, 2026
Details
- NPI
- 1508779034
- Entity type
- Individual (NPI-1)
- Name
- Diana Grace Meyer
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 25, 2026
- Certification date
- Sep 25, 2026
- Last updated
- Sep 25, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AM0700X | Physician Assistant, Medical | 085-012529 | IL | Yes |
Practice location
2800 W 95th StEvergreen Park, IL 60805-2701
Phone 708-422-6200
Mailing address
353 S Ferry DrLake Mills, WI 53551-1526
Phone 262-290-7840
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