Individual
ERICA NICOLE SUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1540 E. GROVE STREET, RANTOUL, IL 61866-2736
(217) 893-7700
(217) 893-7801
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004712
IL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/28/2013
Last updated
05/20/2014
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