Individual
ANGELA POBLOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1506 W GARFIELD AVE, BARTONVILLE, IL 61607-1755
(309) 697-2416
Mailing address
5723 N AUTUMN RIDGE CT APT C, PEORIA, IL 61615-3078
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
06/08/2017
Last updated
08/13/2025
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