Individual
MISS AMISHA SPILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
611 W PARK ST, URBANA, IL 61801-2529
(217) 383-3610
Mailing address
611 W. PARK ST., FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005064
IL
Other
Enumeration date
05/30/2014
Last updated
02/06/2020
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