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Shoshana B Church, PA
Physician Assistant in Carterville, Illinois
NPI 1548261449

Shoshana B Church is a Physician Assistant based in Carterville, IL. Shoshana B Church practices in Carterville, IL and has the professional credentials of PA. The NPI Number for Shoshana B Church is 1548261449 and holds a License No. 085-002122 (Illinois).

The current practice location address for Shoshana B Church is 1006 South Division Street, Carterville, IL and can be reached out via phone at 618-985-4841 and via fax at 618-985-8101.

Location: 1006 South Division Street, Carterville, IL, 62918-0577
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548261449
Provider Name
Shoshana B Church
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1006 South Division Street, Carterville, IL, 62918-0577
Phone Number
618-985-4841
Fax Number
618-985-8101
Provider Enumeration Date
08/02/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
085002122 05 IL
169746 01 IL HEALTH ALLIANCE
CF3444 01 IL MEDICARE RR
141816 01 IL MEDICARE FQHC FOR SHAWNEE HEALTH SERVICES
370966854004 05 IL
institution
Provider Business Practice Location Address Details
Address
1006 South Division Street
City
Carterville
State
Illinois
Zip
62918-1539
Phone Number
618-985-4841
Fax Number
618-985-8101
person
Provider Business Mailing Address Details
Address
1006 South Division Street
City
Carterville
State
Illinois
Zip
62918-1539
Phone Number
618-985-4841
Fax Number
618-985-8101
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
085-002122 (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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