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

Individual provider Physician Assistant · NPI 1457552507

Stacey Illyse Becker, PA-C is a Physician Assistant in Highland Park, Illinois. Qualified in 2003, 23 years ago. Practices with Endeavor Health Medical Group, a 3,348-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2007
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

757 Park Ave W
Highland Park, IL 60035-2556
Phone: (847) 570-2112
Fax: (847) 480-3805
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2650 Ridge Ave, Evanston, IL 60201-1718 — (847) 570-1140

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085002026 (IL)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 085-002026 (IL)

Record details

NPI number1457552507
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 29, 2007
Last updated in NPPESMarch 23, 2026
Certification dateMarch 23, 2026
Mailing address2650 Ridge Ave Ste 1223, Evanston, IL 60201-1700

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Endeavor Health Medical Group — 3348 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Highland Park