SHOSHANA CHURCH, PA

Physician Assistant

Active Individual
NPI: 1548261449

Practice Address

1006 SOUTH DIVISION STREET
Carterville, IL 62918

Phone: (618) 985-4841

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 085-002122 (IL)

Frequently Asked Questions

NPI 1548261449 is the National Provider Identifier for SHOSHANA CHURCH, PA, a Physician Assistant provider located in Carterville, IL. This NPI was enumerated on August 2, 2005.
SHOSHANA CHURCH, PA practices at 1006 SOUTH DIVISION STREET, Carterville, IL 62918.

Quick Facts

NPI
1548261449
Type
Individual
Enumerated
Aug 2, 2005
Last Updated
Sep 13, 2012

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