| Brad Lyn Hartwig, PA-C | |
|
11475 N 2nd St, Machesney Park, IL 61115-1285 | |
| (815) 654-8000 | |
| Not Available |
| Full Name | Brad Lyn Hartwig |
|---|---|
| Gender | Male |
| Speciality | Physician Assistant |
| Location | 11475 N 2nd St, Machesney Park, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477597524 | NPI | - | NPPES |
| 42988500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 1167 (Wisconsin) | Primary |
| 363A00000X | Physician Assistant | 085-002982 (Illinois) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Brad Lyn Hartwig, PA-C 1394 Kiwanis Dr Apt B302, Freeport, IL 61032-6940 Ph: (815) 821-4777 | Brad Lyn Hartwig, PA-C 11475 N 2nd St, Machesney Park, IL 61115-1285 Ph: (815) 654-8000 |
Anna Ellerbroek, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11475 N 2nd St, Machesney Park, IL 61115 Phone: 815-654-8000 Fax: 815-654-8020 | |
Erik Oksnevad, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 11475 N 2nd St, Machesney Park, IL 61115 Phone: 815-654-8000 Fax: 815-654-8020 | |
Mrs. Jennifer Lynn Speer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 11475 N 2nd St, Machesney Park, IL 61115 Phone: 815-543-5612 |