Individual
MRS. RACHEL MARIE SARGENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 N. GIANT CITY RD, CARBONDALE, IL 62902-6413
(618) 549-2500
(618) 549-2525
Mailing address
600 N. GIANT CITY RD, CARBONDALE, IL 62902-6413
(618) 549-2500
(618) 549-2525
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003056
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208554
HEALTH ALLIANCE
IL
05
—
370966854017
—
IL
01
—
CF3444
MEDICARE RR
IL
Enumeration date
09/19/2007
Last updated
11/06/2014
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