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

Individual provider Physician Assistant · NPI 1245715309

Jacylyn Denise Wahl, MPAS, PA-C is a Physician Assistant in Libertyville, Illinois. Works from 3 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2018
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

150 E Cook Ave Ste 100
Libertyville, IL 60048-2060
Phone: (847) 232-3342
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (2)

  • 1650 Cochrane Cir, Fort Carson, CO 80913-4613 — (719) 526-7000
  • 12970 W Bluemound Rd Ste 200, Elm Grove, WI 53122-2607 — (262) 780-1020

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4815 (WI)

Record details

NPI number1245715309
Entity typeIndividual (Type 1)
GenderFemale
Credentials MPAS , PA-C
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESJanuary 27, 2021
Certification dateJanuary 27, 2021

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