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Ms. Staci J Ladowitz, PA
Medical Physician Assistant in Shiloh, Illinois
NPI 1639711963

Staci J Ladowitz is a Medical Physician Assistant based in Shiloh, IL and is specialized in Medical. Staci J Ladowitz practices in Shiloh, IL and has the professional credentials of PA. The NPI Number for Staci J Ladowitz is 1639711963 and holds a License No. 085007299 (Illinois).

The current practice location address for Staci J Ladowitz is 1418 Cross St, Shiloh, IL and can be reached out via phone at 618-607-1320 and via fax at 618-433-6492.

Location: 1418 Cross St, Shiloh, IL, 62269-2988
person
Provider Profile Details
NPI Number
1639711963
Provider Name
Staci J Ladowitz
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
1418 Cross St, Shiloh, IL, 62269-2988
Phone Number
618-607-1320
Fax Number
618-433-6492
Provider Enumeration Date
10/08/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
220076974 05 MO
institution
Provider Business Practice Location Address Details
Address
1418 Cross St
City
State
Zip
62269-2988
Phone Number
618-607-1320
Fax Number
618-433-6492
person
Provider Business Mailing Address Details
Address
1418 Cross St
City
State
Zip
62269-2988
Phone Number
618-607-1320
Fax Number
618-433-6492
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085007299 (Illinois)
Definition
Definition to come...
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