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Individual

ALYSON DYCK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1001 HEATHER DR, MAHOMET, IL 61853-2754
(217) 586-8400
(217) 586-5093
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007846
IL

Other

Enumeration date
08/18/2020
Last updated
06/11/2021
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