Individual
MRS. SARA HOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
400 S LEWIS LN, CARBONDALE, IL 62901-3547
(618) 519-9900
(618) 529-1384
Mailing address
109 CALIFORNIA ST, PO BOX 577, CARTERVILLE, IL 62918-0577
(618) 985-8221
(618) 985-4635
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.005610
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
370966854024
—
IL
Enumeration date
10/09/2015
Last updated
10/09/2015
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