Individual
DEBRA LYNN PYSZKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
920 WEST ST, SUITE 211, PERU, IL 61354-2763
(815) 223-2143
Mailing address
1305 6TH ST, PERU, IL 61354-2759
(815) 780-4644
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085001304
BCBS-IL
IL
01
—
7071673
AETNA
IL
Enumeration date
10/23/2006
Last updated
08/22/2011
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