Individual
MICHELLE FOUCHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 N OTTAWA ST, JOLIET, IL 60432-4009
(815) 726-0311
Mailing address
300 N OTTAWA ST, JOLIET, IL 60432-4009
(815) 726-0311
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002836
IL
Other
Enumeration date
11/01/2011
Last updated
05/06/2020
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