person
Mrs. Dena L Mccormick, PA-C
Medical Physician Assistant in Herrin, Illinois
NPI 1225066608

Dena L Mccormick is a Medical Physician Assistant based in Carbondale, IL and is specialized in Medical. Dena L Mccormick practices in Herrin, IL and has the professional credentials of PA-C. The NPI Number for Dena L Mccormick is 1225066608 and holds a License No. 085002236 (Illinois).

The current practice location address for Dena L Mccormick is 201 S 14Th St, Herrin, IL and can be reached out via phone at 618-942-2171 and via fax at 618-988-6186. You can also correspond with Dena L Mccormick through the mailing address at PO BOX 3988, CARBONDALE, IL - 62902-3988 (mailing address contact number: 618-457-5200).

Location: 201 S 14Th St, Herrin, IL, 62902-3988
person
Provider Profile Details
NPI Number
1225066608
Provider Name
Dena L Mccormick
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
201 S 14Th St, Herrin, IL, 62902-3988
Phone Number
618-942-2171
Fax Number
618-988-6186
Provider Enumeration Date
06/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7210895 01 IL AETNA
3932056 01 IL BCBS
036062597 05 IL
894228 01 IL HEALTHLINK
10019630 01 IL BLUE CROSS
139759 01 IL HAMP
institution
Provider Business Practice Location Address Details
Address
201 S 14Th St
City
State
Zip
62948-3631
Phone Number
618-942-2171
Fax Number
618-988-6186
person
Provider Business Mailing Address Details
Address
201 S 14Th St
City
State
Zip
62948-3631
Phone Number
618-942-2171
Fax Number
618-988-6186
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085002236 (Illinois)
Definition
Definition to come...
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