Individual
DEBRA SMALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2900 FOXFIELD RD STE 100, ST CHARLES, IL 60174-5799
(630) 377-6500
(630) 377-6577
Mailing address
2900 FOXFIELD RD STE 100, ST CHARLES, IL 60174-5799
(630) 377-6500
(630) 377-6577
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085006436
IL
Other
Enumeration date
11/02/2017
Last updated
08/01/2019
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