Leesa E Gillooley PA-C

NPI 1154567964 - Physician Assistant - 363A00000X

NPI Details
NPI 1154567964
Gender Female
Enumeration Date 12/29/2008
Last Updated 06/14/2010
Entity Type Individual
Active Over 7 years ago
Practice Location
698 FEATHERSTONE RD
ROCKFORD IL, 61107-6303, US
Phone (815) 398-3277
Fax
Business Location
698 FEATHERSTONE RD
ROCKFORD IL, 61107-6303, US
Phone (815) 398-3277
Fax
Toxanomy
Taxonomy Code 363A00000X
License State Illinois
License Number 085003368
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According to our database, Mrs. Leesa E Gillooley PA-C NPI is 1154567964, taxonomy code is 363A00000X and license number is 085003368, license state is located at Illinois. Leesa E Gillooley PA-C physically located at 698 Featherstone Rd, Rockford IL, 61107-6303. NPI Number Leesa E Gillooley PA-C has the Individual type.

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1154567964 NPI number is provided on an as is basis without warranty of any kind. 1154567964 is maintained by the National Plan & Provider Enumeration System. The contents of Leesa E Gillooley PA-C are for informational purposes only.