Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MICHAEL DE VENECIA, PA-C
ActiveMICHAEL DE VENECIA, PA-C is a Physician Assistant healthcare provider located in RANTOUL, Illinois. NPI 1457046351 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · RANTOUL, IL
Registration Details
- NPI Number
- 1457046351
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2023 (3.3387376529791 yrs)
- Last Updated
- Apr 6, 2023
- License
-
085009622 (IL)
Practice Information
- Address
-
841 BROADMEADOW RDRANTOUL, IL, 618662166Browse IL providers · Browse ZIP 61866
- Phone
- 2172823010
- Primary Specialty
-
Physician Assistant
363A00000X
- Additional Specialty
- Physician Assistant
Other Physician Assistant Providers in RANTOUL, IL
| Name | Credential | NPI |
|---|---|---|
| NASER JAHANBIGLAR | PA | 1548347263 |
| ERICA NICOLE SUTTON | PA-C | 1265872790 |
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.