Individual
JEANNE M HNILICKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1025 MAINE ST, QUINCY, IL 62301-4038
(217) 222-6550
Mailing address
521 E MAIN ST, MT STERLING, IL 62353-1378
(217) 773-3963
(217) 773-3426
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004330
IL
Other
Enumeration date
10/04/2007
Last updated
08/14/2012
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