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Mr. Brian Neal Shore, PAC
Physician Assistant in Champaign, Illinois
NPI 1376544585

Brian Neal Shore is a Physician Assistant based in Champaign, IL. Brian Neal Shore practices in Champaign, IL and has the professional credentials of PAC. The NPI Number for Brian Neal Shore is 1376544585 and holds a License No. 085002428 (Illinois).

The current practice location address for Brian Neal Shore is 2110 Fox Dr, Champaign, IL and can be reached out via phone at 217-366-1237.

Location: 2110 Fox Dr, Champaign, IL, 61820-3909
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376544585
Provider Name
Brian Neal Shore
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
2110 Fox Dr, Champaign, IL, 61820-3909
Phone Number
217-366-1237
Fax Number
Provider Enumeration Date
08/10/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
434110 01 IL MEDICARE GROUP
P00382778 01 IL RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
2110 Fox Dr
City
Champaign
State
Illinois
Zip
61820-7553
Phone Number
217-366-1237
Fax Number
person
Provider Business Mailing Address Details
Address
2110 Fox Dr
City
Champaign
State
Illinois
Zip
61820-7553
Phone Number
217-366-1237
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085002428 (Illinois)
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
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