EMILY STREET

Physician Assistant

Active Individual
NPI: 1124843057

Practice Address

224 W MIDDLETON ST
PO 363
Witt, IL 62094

Phone: (217) 710-3999

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes -

Frequently Asked Questions

NPI 1124843057 is the National Provider Identifier for EMILY STREET, a Physician Assistant provider located in Witt, IL. This NPI was enumerated on November 15, 2024.
EMILY STREET practices at 224 W MIDDLETON ST, PO 363, Witt, IL 62094.

Quick Facts

NPI
1124843057
Type
Individual
Enumerated
Nov 15, 2024
Last Updated
Nov 15, 2024

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