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Individual

DAWN LEE ACKERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3131 N WATER ST, DECATUR, IL 62526-2472
(217) 876-5320
Mailing address
400 KIRK DR, MT ZION, IL 62549-1612
(269) 655-4084

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5601003061
MI
363AM0700X
Medical Physician Assistant
085003646
IL

Other

Enumeration date
01/10/2007
Last updated
07/19/2010
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