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

Marissa Lynn Puhar, PA

Individual provider Physician Assistant · NPI 1386115350

Marissa Lynn Puhar, PA is a Physician Assistant in Glen Ellyn, Illinois. Qualified in 2019, 7 years ago. Practices with Dupage Medical Group Ltd, a 1,328-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
7
Licensed in
IL
In the registry since
2018
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

430 Pennsylvania Ave
Glen Ellyn, IL 60137-4464
Phone: (630) 545-7855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085006976 (IL)

Record details

NPI number1386115350
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedDecember 16, 2018
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Dupage Medical Group Ltd — 1328 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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