SearchIllinoisSurgical Physician Assistant

Tara Nikodem, PA-C

NPI 1720322654 · on the registry since 2012

Practice

Address
1948 Three Farms Ave
Naperville, IL 60540
Phone
(630) 355-5633
Organisation at this address
Du Page Medical Group Ltd
Inferred from a shared address, not stated in the registry.
Clinicians at this address
25

Additional practice sites

  • 211 E Ontario St, Chicago, IL

Registry record

Primary taxonomy
Surgical Physician Assistant
363AS0400X
Also registered as
Physician Assistant
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-24

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