Individual
ANNE KATHERINE MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1000 MEDICAL CENTER DR, MONTICELLO, IL 61856
(217) 762-6241
(217) 762-1702
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
(217) 902-5292
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004079
IL
363AS0400X
Surgical Physician Assistant
085004079
IL
Other
Enumeration date
09/02/2011
Last updated
03/31/2020
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