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

Individual provider Physician Assistant · NPI 1063936607

Stephanie E Pedroza, PA-C is a Physician Assistant in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with The Board of Trustees of the University of Illinois, a 1,142-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
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

1220 S Wood St
Chicago, IL 60608-1202
Phone: (312) 996-2000
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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 085006262 (IL)

Record details

NPI number1063936607
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 26, 2017
Last updated in NPPESFebruary 16, 2026
Certification dateFebruary 16, 2026
Mailing address4440 W 95th St, Oak Lawn, IL 60453-2600

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice The Board Of Trustees Of The University Of Illinois — 1142 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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