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

Individual provider Physician Assistant · NPI 1952814568

Justin Koehl, PA-C is a Physician Assistant in Elk Grove Village, Illinois. Graduated from Boston University School of Medicine in 2017, 9 years ago. Practices with Core Orthopedics and Sports Medicine LLC, a 13-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Trained at
Boston University School of Medicine
Licensed in
IL
In the registry since
2017
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

555 Biesterfield Rd
Elk Grove Village, IL 60007-3306
Phone: (847) 690-1776
Fax: (847) 690-1777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2380 Lakewood Blvd, Hoffman Estates, IL 60192-2025 — (847) 690-1776

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IL)

Record details

NPI number1952814568
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedNovember 6, 2017
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBOSTON UNIVERSITY SCHOOL OF MEDICINE
Graduated 2017 (9 years in practice)
Group practice Core Orthopedics And Sports Medicine Llc — 13 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Elk Grove Village