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Individual

MRS. EVANNE M IHNKEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089
(309) 624-4000
Mailing address
200 E PENNSYLVANIA AVE, PEORIA, IL 61603-3089

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085010198
IL
363AS0400X
Surgical Physician Assistant
2016006861
MO

Other

Enumeration date
03/07/2016
Last updated
01/28/2025
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