Individual
MR. CHRISTOPHER MICHAEL MYSLICKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
133 SPINDER DR, EAST PEORIA, IL 61611-0016
(309) 308-5100
Mailing address
2000 UNIVERSITY AVE, DUBUQUE, IA 52001-5099
(630) 865-6533
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.009531
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2021
Last updated
04/24/2023
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