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

Individual provider Physician Assistant · NPI 1639321482

MS. Stacie Wharton, PA is a Physician Assistant in Wauconda, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2008
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

431 W Liberty St
Wauconda, IL 60084
Phone: (847) 526-2151
Fax: (815) 678-4184
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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 085003268 (IL)

Record details

NPI number1639321482
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 10, 2008
Last updated in NPPESDecember 10, 2015

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