Individual
LISA K FEATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1601 W ROBINSON, WAYNE CITY, IL 62895-9483
(618) 895-3181
(618) 895-3035
Mailing address
1601 W ROBINSON, WAYNE CITY, IL 62895-9483
(618) 895-3181
(618) 895-3035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085-000778
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CE9335
RR GROUP NUMBER
IL
01
—
P00393085
RR MEDICARE NUMBER
IL
Enumeration date
08/02/2005
Last updated
02/26/2026
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