person
Ms. Gina C. Bird, PA
Medical Physician Assistant in Champaign, Illinois
NPI 1902813454

Gina C. Bird is a Medical Physician Assistant based in Champaign, IL and is specialized in Medical. Gina C. Bird practices in Champaign, IL and has the professional credentials of PA. The NPI Number for Gina C. Bird is 1902813454 and holds a License No. 085002358 (Illinois).

The current practice location address for Gina C. Bird is 101 W University Ave, Champaign, IL and can be reached out via phone at 217-366-1248 and via fax at 217-366-6100.

Location: 101 W University Ave, Champaign, IL, 61820-3909
person
Provider Profile Details
NPI Number
1902813454
Provider Name
Gina C. Bird
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
101 W University Ave, Champaign, IL, 61820-3909
Phone Number
217-366-1248
Fax Number
217-366-6100
Provider Enumeration Date
08/01/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00168412 01 IL RAILROAD MEDICARE
434110 01 IL MEDICARE GROUP
institution
Provider Business Practice Location Address Details
Address
101 W University Ave
City
State
Zip
61820-3981
Phone Number
217-366-1248
Fax Number
217-366-6100
person
Provider Business Mailing Address Details
Address
101 W University Ave
City
State
Zip
61820-3981
Phone Number
217-366-1248
Fax Number
217-366-6100
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
085002358 (Illinois)
Definition
Definition to come...
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