Individual
STACY L PURCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
123 W MICHIGAN ST, OTTAWA, IL 61350-2028
(815) 860-0757
(708) 923-2529
Mailing address
123 W MICHIGAN ST, OTTAWA, IL 61350-2028
(815) 791-9553
(630) 495-1770
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
85002282
IL
Other
Enumeration date
07/13/2005
Last updated
06/26/2019
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