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Stephanie Painter, PA

Physician Assistant, Medical in Champaign, IL. Individual provider (NPI-1).

NPI number1760611149
StatusActive
Last updated in NPPESMay 8, 2014

Details

NPI
1760611149
Entity type
Individual (NPI-1)
Name
Stephanie Painter
Credential
PA
Sex
Female
Sole proprietor
No
Enumeration date
Jul 7, 2009
Last updated
May 8, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363AM0700X Physician Assistant, Medical085.003473ILYes

Practice location

1701 Curtis Rd
Champaign, IL 61822-9678

Phone 217-365-6203

Mailing address

611 W Park St
Bwpc
Urbana, IL 61801-2529

Phone 217-383-6792 · Fax 217-383-4752

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