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Angela M Prosise, PA
Medical Physician Assistant in Springfield, Illinois
NPI 1578647947

Angela M Prosise is a Medical Physician Assistant based in Springfield, IL and is specialized in Medical. Angela M Prosise practices in Springfield, IL and has the professional credentials of PA. The NPI Number for Angela M Prosise is 1578647947 and holds a License No. 085-002151 (Illinois).

The current practice location address for Angela M Prosise is 619 E Mason St, Springfield, IL and can be reached out via phone at 217-788-0706 and via fax at 217-525-2535. You can also correspond with Angela M Prosise through the mailing address at PO BOX 19420, SPRINGFIELD, IL - 62794-9420 (mailing address contact number: 217-788-0706).

Location: 619 E Mason St, Springfield, IL, 62794-9420
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Provider Profile Details
NPI Number
1578647947
Provider Name
Angela M Prosise
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
619 E Mason St, Springfield, IL, 62794-9420
Phone Number
217-788-0706
Fax Number
217-525-2535
Provider Enumeration Date
10/24/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00092459 01 IL RAILROAD
institution
Provider Business Practice Location Address Details
Address
619 E Mason St
City
State
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
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Provider Business Mailing Address Details
Address
619 E Mason St
City
State
Zip
62701-1034
Phone Number
217-788-0706
Fax Number
217-525-2535
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085-002151 (Illinois)
Definition
Definition to come...
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