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Stephanie Hazen, PA-C

Physician Assistant in Algonquin, IL. Individual provider (NPI-1).

NPI number1649198813
StatusActive
Last updated in NPPESJul 8, 2026

Details

NPI
1649198813
Entity type
Individual (NPI-1)
Name
Stephanie Hazen
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2026
Certification date
Jul 8, 2026
Last updated
Jul 8, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant085.012288ILYes

Practice location

2430 Esplanade Dr Ste B
Algonquin, IL 60102-5500

Phone 847-458-7546

Mailing address

2430 Esplanade Dr Ste B
Algonquin, IL 60102-5500

Phone 847-458-7546

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