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

Individual provider Medical Physician Assistant · NPI 1316343296

Mr. Douglas Krysan, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2014, 12 years ago. Practices with Rush University Medical Group, a 1,499-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and Pennsylvania.

Years since qualifying
12
Licensed in
IL, PA
In the registry since
2014
Specialties on file
2
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

1725 W Harrison St Ste 161
Chicago, IL 60612-3861
Phone: (312) 563-2875
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2113 Manor Ridge Dr, Lancaster, PA 17603-4215 — (717) 299-4644

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence MA057239 (PA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085006546 (IL)

Record details

NPI number1316343296
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 5, 2014
Last updated in NPPESSeptember 18, 2024
Certification dateSeptember 18, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Rush University Medical Group — 1499 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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