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

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
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Practice location Address checks out

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