Individual
ALEXIS FISCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1540 E GROVE AVE, RANTOUL, IL 61866-2736
(217) 893-7700
(217) 893-7801
Mailing address
611 W PARK ST, URBANA, IL 61801-2529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209024573
IL
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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