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

Individual provider Physician Assistant · NPI 1346732021

Katelyn Elizabeth Derosa, PA-C is a Physician Assistant in Park Ridge, Illinois. Qualified in 2018, 8 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
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

1875 Dempster St Ste 640
Park Ridge, IL 60068
Phone: (847) 297-6380
Fax: (847) 297-0589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1875 Dempster St Ste 280, Park Ridge, IL 60068-1157 — (847) 318-9071

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.006570 (IL)

Record details

NPI number1346732021
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 30, 2018
Last updated in NPPESJuly 5, 2023
Certification dateJuly 5, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Park Ridge