Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brenda Carbajal

Individual provider Physician Assistant · NPI 1013523620

Brenda Carbajal is a Physician Assistant in Blue Island, Illinois. Qualified in 2021, 5 years ago. Practices with Osf Multi-Specialty Group, a 2,128-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2020

Practice location Address checks out

12200 Western Ave
Blue Island, IL 60406-1398
Phone: (708) 631-2781
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1013523620
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 18, 2020
Last updated in NPPESMarch 14, 2023
Certification dateMarch 14, 2023
Mailing address1320 W Lombard St, Davenport, IA 52804-2029

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Osf Multi-Specialty Group — 2128 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Blue Island