Individual
RICHARD OFFENBACK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
611 W PARK ST, CARDIOVASCULAR AND THORACIC SURGERY, URBANA, IL 61801-2529
(217) 904-7000
(217) 904-7742
Mailing address
611 W PARK ST, BWPC, URBANA, IL 61801-2529
(217) 383-6792
(217) 383-4752
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085000765
IL
363A00000X
Physician Assistant
Primary
2540
SC
Other
Enumeration date
10/28/2005
Last updated
01/29/2025
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