Provider Demographics
NPI:1508266776
Name:FILS, MEREDITH JULIA (PA-C)
Entity Type:Individual
Prefix:MS
First Name:MEREDITH
Middle Name:JULIA
Last Name:FILS
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MS
Other - First Name:MEREDITH
Other - Middle Name:JULIA
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2740 W FOSTER AVE UNIT A
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60625-3500
Mailing Address - Country:US
Mailing Address - Phone:773-878-8200
Mailing Address - Fax:773-293-8804
Practice Address - Street 1:6141 N CICERO AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60646-4303
Practice Address - Country:US
Practice Address - Phone:773-907-7750
Practice Address - Fax:773-907-7760
Is Sole Proprietor?:No
Enumeration Date:2014-08-25
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.005160363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant