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

Kacianna Hardsock, PA-C

Individual provider Surgical Physician Assistant · NPI 1306460290

Kacianna Hardsock, PA-C is a Physician Assistant in Palos Heights, Illinois. Qualified in 2020, 6 years ago. Licensed in Colorado and Illinois.

Years since qualifying
6
Licensed in
CO, IL
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

12251 S 80th Ave Ste 1520
Palos Heights, IL 60463-1290
Phone: (708) 923-4200
Fax: (708) 923-4201
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085012242 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA.0007720 (CO)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1306460290
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESJuly 21, 2026
Certification dateJuly 21, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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