Angela Poblocki
Physician Assistant in Bartonville, IL. Individual provider (NPI-1).
NPI number1982133294
StatusActive
Last updated in NPPESSep 10, 2026
Details
- NPI
- 1982133294
- Entity type
- Individual (NPI-1)
- Name
- Angela Poblocki
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 8, 2017
- Certification date
- Sep 10, 2026
- Last updated
- Sep 10, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
Practice location
1506 W Garfield AveBartonville, IL 61607-1755
Phone 309-697-2416
Mailing address
1506 W Garfield AveBartonville, IL 61607-1755
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