Individual
ELIZABETH FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2300 S 1ST ST, CHAMPAIGN, IL 61820-7661
(217) 383-9400
(217) 383-9694
Mailing address
611 W PARK ST, FAPC, URBANA, IL 61801
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085004930
IL
363A00000X
Physician Assistant
10001628A
IN
Other
Enumeration date
01/21/2014
Last updated
05/14/2021
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