Individual
LEAH TEICHMILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 HEALTH CENTER DR STE 107, MATTOON, IL 61938-4644
(217) 258-4096
(217) 238-5485
Mailing address
PO BOX 372, ATTN PAYER INSURANCE CREDENTIALING, MATTOON, IL 61938-0372
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005898
IL
Other
Enumeration date
08/31/2016
Last updated
04/22/2026
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