NICHOLAS IDLE, PA

PA

Physician Assistant

NPI: 1467738005IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

085004157(IL)

Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

085.004157(IL)

CMS Specialties

PrimaryPHYSICIAN ASSISTANT

Education

OTHER

Class of 2011

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Contact & Hours

Address: 611 W PARK ST
URBANA, IL 61801
Phone: (217) 904-7000

Quick Facts

NPI: 1467738005
Entity Type: Individual
Gender: Male
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 15

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