Individual
RACHEL B PRANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1115 MORGAN ST, SUITE 2, CARLINVILLE, IL 62626-1430
(217) 854-3881
(217) 854-3894
Mailing address
1115 MORGAN ST, SUITE 2, CARLINVILLE, IL 62626-1430
(217) 854-3881
(217) 854-3894
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085000924
IL
363AM0700X
Medical Physician Assistant
2003016368-MO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
561349
HEALTHLINK
MO
Enumeration date
01/08/2007
Last updated
08/05/2013
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