person
Jennifer D Gutshall, PA
Medical Physician Assistant in Dixon, Illinois
NPI 1073524328

Jennifer D Gutshall is a Medical Physician Assistant based in Dixon, IL and is specialized in Medical. Jennifer D Gutshall practices in Dixon, IL and has the professional credentials of PA. The NPI Number for Jennifer D Gutshall is 1073524328 and holds a License No. 085002531 (Illinois).

The current practice location address for Jennifer D Gutshall is 215 E 1St St Ste 215, Dixon, IL and can be reached out via phone at 815-285-5422 and via fax at 815-285-5426.

Location: 215 E 1St St Ste 215, Dixon, IL, 61021-3166
person
Provider Profile Details
NPI Number
1073524328
Provider Name
Jennifer D Gutshall
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
215 E 1St St Ste 215, Dixon, IL, 61021-3166
Phone Number
815-285-5422
Fax Number
815-285-5426
Provider Enumeration Date
08/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085002531 01 IL LICENSE
institution
Provider Business Practice Location Address Details
Address
215 E 1St St Ste 215
City
State
Zip
61021-3166
Phone Number
815-285-5422
Fax Number
815-285-5426
person
Provider Business Mailing Address Details
Address
215 E 1St St Ste 215
City
State
Zip
61021-3166
Phone Number
815-285-5422
Fax Number
815-285-5426
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085002531 (Illinois)
Definition
Definition to come...
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