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

Scott Ahlstrom

Individual provider Medical Physician Assistant · NPI 1538628938

Scott Ahlstrom is a Medical Physician Assistant in Kenilworth, Illinois. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

534 Green Bay Rd
Kenilworth, IL 60043-1801
Phone: (847) 256-5505
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X

Record details

NPI number1538628938
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 15, 2019
Last updated in NPPESMarch 15, 2019
Mailing address3021 Iroquois Rd, Wilmette, IL 60091-1106