Individual
REBECCA BARRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5401 N KNOXVILLE AVE STE 115, PEORIA, IL 61614-5068
(309) 691-2903
(309) 691-2909
Mailing address
5401 N KNOXVILLE AVE STE 115, PEORIA, IL 61614-5095
(309) 691-2903
(309) 691-2909
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
085002089
IL
Other
Enumeration date
11/22/2006
Last updated
10/31/2023
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