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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EMILY STREET

Active

EMILY STREET is a Physician Assistant healthcare provider located in WITT, Illinois. NPI 1124843057 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · WITT, IL

Registration Details

NPI Number
1124843057
Provider Type
Individual
Gender
Female
NPI Issued
Nov 15, 2024 (1.7256842314306 yrs)
Last Updated
Nov 15, 2024

Practice Information

Address
224 W MIDDLETON ST
PO 363
WITT, IL, 620941265
Browse IL providers · Browse ZIP 62094
Phone
2177103999
Primary Specialty
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.