Individual
ELIZABETH CUE CYRUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
340 W LINCOLN ST, BELLEVILLE, IL 62220-1900
(618) 233-6044
(618) 233-3287
Mailing address
340 W LINCOLN ST, BELLEVILLE, IL 62220-1900
(618) 233-6044
(618) 233-3287
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
085002204
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101175
HEALTH ALLIANCE
—
01
—
652774
HEALTHLINK
—
01
—
P00144157
RR MEDICARE
—
01
—
Q18794
MERCY
—
Enumeration date
06/28/2006
Last updated
03/05/2010
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