Individual
MR. PAUL E HOUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
(217) 525-3664
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
85-000937
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1034360
NCCPA-NAT. COM CERT OF PA
IL
01
—
1112
STATE LICENSE
IA
01
—
385-000531
PA CONTROLLED SUBSTANCE
IL
01
—
5100395
STATE CONTROLLED SUBSTANC
IA
01
—
552
STATE LICENSE
TN
01
—
85-000937
STATE LICENSE NUMBER
IL
Enumeration date
08/09/2005
Last updated
03/07/2023
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