Provider Demographics
NPI:1730734807
Name:RICHTER, BRITTNEY S (PA-C)
Entity type:Individual
Prefix:
First Name:BRITTNEY
Middle Name:S
Last Name:RICHTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 FOXFIELD RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-5799
Mailing Address - Country:US
Mailing Address - Phone:877-377-1188
Mailing Address - Fax:630-377-7360
Practice Address - Street 1:2900 FOXFIELD RD STE 102
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-5799
Practice Address - Country:US
Practice Address - Phone:877-377-1188
Practice Address - Fax:630-377-7360
Is Sole Proprietor?:No
Enumeration Date:2019-08-06
Last Update Date:2025-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.009768363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1730734807Medicaid
WI7095-23OtherWI LICENSE