person
Rebecca Ultch, PA
Medical Physician Assistant in Peoria, Illinois
NPI 1821054297

Rebecca Ultch is a Medical Physician Assistant based in Peoria, IL and is specialized in Medical. Rebecca Ultch practices in Peoria, IL and has the professional credentials of PA. The NPI Number for Rebecca Ultch is 1821054297 and holds a License No. 085002060 (Illinois).

The current practice location address for Rebecca Ultch is 7309 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-9898 and via fax at 309-692-9055.

Location: 7309 N Knoxville Ave, Peoria, IL, 61614-2085
person
Provider Profile Details
NPI Number
1821054297
Provider Name
Rebecca Ultch
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
7309 N Knoxville Ave, Peoria, IL, 61614-2085
Phone Number
309-692-9898
Fax Number
309-692-9055
Provider Enumeration Date
04/25/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7309 N Knoxville Ave
City
State
Zip
61614-2085
Phone Number
309-692-9898
Fax Number
309-692-9055
person
Provider Business Mailing Address Details
Address
7309 N Knoxville Ave
City
State
Zip
61614-2085
Phone Number
309-692-9898
Fax Number
309-692-9055
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085002060 (Illinois)
Definition
Definition to come...
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