Individual
JESSICA ANN DEMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
109 3RD ST, LINCOLN, IL 62656-2604
(217) 735-2317
(217) 732-6943
Mailing address
PO BOX 19670, SPRINGFIELD, IL 62794-9670
(217) 545-8000
(217) 747-1351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-004180
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-004180
STATE LICENSE
IL
Enumeration date
09/29/2011
Last updated
04/19/2024
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