Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
COURTNEY L TELLER, PA-C
ActiveCOURTNEY L TELLER, PA-C is a Physician Assistant healthcare provider located in DIXON, Illinois. NPI 1417208505 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DIXON, IL
Registration Details
- NPI Number
- 1417208505
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 28, 2012 (13.688655782592 yrs)
- Last Updated
- Aug 27, 2018
- License
-
085004426 (IL)
Practice Information
- Address
-
102 S HENNEPIN AVEDIXON, IL, 610213013Browse IL providers · Browse ZIP 61021
- Phone
- 8152858523
- Fax
- 8152858901
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in DIXON, IL
| Name | Credential | NPI |
|---|---|---|
| MS. DELLA D CROFT | PAC | 1154347359 |
| ANGELA B DANIELSON | PA-C | 1164676896 |
| MEGHAN NICOLE JURGAITIS | PA-C | 1568962009 |
| COURTNEY MALINOWSKI | PA-C | 1346040466 |
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.