Individual
ANGELA M PROSISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
619 E MASON ST, SUITE 4P57, SPRINGFIELD, IL 62701-1034
(217) 788-0706
(217) 525-2535
Mailing address
PO BOX 19420, SPRINGFIELD, IL 62794-9420
(217) 788-0706
(217) 525-2535
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085-002151
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00092459
RAILROAD
IL
Enumeration date
10/24/2006
Last updated
03/21/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us