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

Nicholas Counterman, PA-C

Individual provider Surgical Physician Assistant · NPI 1114616133

Nicholas Counterman, PA-C is a Physician Assistant in McHenry, Illinois. Qualified in 2023, 3 years ago. Practices with Northwestern Medical Faculty Foundation, a 4,394-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
3
Licensed in
IL
In the registry since
2023
Specialties on file
2
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

4309 W Medical Center Dr Ste B201
McHenry, IL 60050-8417
Phone: (847) 535-7271
Fax: (847) 802-7399
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085009938 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1114616133
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 4, 2023
Last updated in NPPESNovember 6, 2023
Certification dateNovember 6, 2023
Mailing address4309 W Medical Center Dr Ste B201, McHenry, IL 60050-8417

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Northwestern Medical Faculty Foundation — 4394 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations12 on file with Medicare

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