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Elijah Boone Clark, PA-C
Physician Assistant in Champaign, Illinois
NPI 1962128595

Elijah Boone Clark is a Physician Assistant based in Champaign, IL. Elijah Boone Clark practices in Champaign, IL and has the professional credentials of PA-C. The NPI Number for Elijah Boone Clark is 1962128595 and holds a License No. (Illinois).

The current practice location address for Elijah Boone Clark is 408 S Neil St, Champaign, IL and can be reached out via phone at 217-337-2995.

Location: 408 S Neil St, Champaign, IL, 61820-5218
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1962128595
Provider Name
Elijah Boone Clark
Credential
PA-C
Provider Entity Type
Individual
Gender
Male
Address
408 S Neil St, Champaign, IL, 61820-5218
Phone Number
217-337-2995
Fax Number
Provider Enumeration Date
10/14/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
408 S Neil St
City
Champaign
State
Illinois
Zip
61820-5218
Phone Number
217-337-2995
Fax Number
person
Provider Business Mailing Address Details
Address
408 S Neil St
City
Champaign
State
Illinois
Zip
61820-5218
Phone Number
217-337-2995
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
-
Taxonomy
363A00000X
License No.
()
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.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
()
Definition
Definition to come...
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