Search › Illinois › 363A00000X
Justin Duffy, PA-C
NPI 1174918809 · on the registry since 2015
Practice
- Address
- 4309 W Medical Center Dr Ste A200
Mchenry, IL 60050 - Phone
- (815) 759-8070
- Fax
- (815) 759-4931
- Organisation at this address
- Kanu Panchal Mdsc
Mukaramullah Syed Llc
Centegra Health System
Illinois Pain Treatment Institute, Ltd
Anesthesia Associates Of Crystal Valley, S. C.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 127
Additional practice sites
- 431 Savannah Rd, Lewes, DE
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AS0400X
363AS0400X
363AS0400X
363A00000X - Licence states on file
- IL, DE, PA, VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois