Individual
SHARON AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
200 E PENNSYLVANIA AVE, SUITE 105, PEORIA, IL 61603-3089
(309) 655-7888
(309) 655-7905
Mailing address
200 E PENNSYLVANIA AVE, SUITE 105, PEORIA, IL 61603-3089
(309) 655-7888
(309) 655-7905
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085000729
IL
Other
Enumeration date
10/05/2005
Last updated
11/08/2013
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