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

Individual provider Surgical Physician Assistant · NPI 1174907646

Brittany Waclaw, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2015, 11 years ago. Practices with Cardiac Surgery Associates SC, a 45-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3000 N Halsted St Ste 500
Chicago, IL 60657-5194
Phone: (773) 477-4343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3231 Euclid Ave, Berwyn, IL 60402-3471 — (708) 783-7025

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085005504 (IL)

Record details

NPI number1174907646
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 15, 2015
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Cardiac Surgery Associates Sc — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations9 on file with Medicare

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