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Jaclyn Joy Hake, PA-C
Medical Physician Assistant in Gillespie, Illinois
NPI 1497994727

Jaclyn Joy Hake is a Medical Physician Assistant based in Gillespie, IL and is specialized in Medical. Jaclyn Joy Hake practices in Gillespie, IL and has the professional credentials of PA-C. The NPI Number for Jaclyn Joy Hake is 1497994727 and holds a License No. 085003429 (Illinois).

The current practice location address for Jaclyn Joy Hake is 715 Broadway St, Gillespie, IL and can be reached out via phone at 217-839-2689 and via fax at 217-839-2689.

Location: 715 Broadway St, Gillespie, IL, 62033-1166
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Provider Profile Details
NPI Number
1497994727
Provider Name
Jaclyn Joy Hake
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
715 Broadway St, Gillespie, IL, 62033-1166
Phone Number
217-839-2689
Fax Number
217-839-2689
Provider Enumeration Date
02/10/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085003429 01 IL IL LICENSE
institution
Provider Business Practice Location Address Details
Address
715 Broadway St
City
State
Zip
62033-1166
Phone Number
217-839-2689
Fax Number
217-839-2689
person
Provider Business Mailing Address Details
Address
715 Broadway St
City
State
Zip
62033-1166
Phone Number
217-839-2689
Fax Number
217-839-2689
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085003429 (Illinois)
Definition
Definition to come...
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