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

MINA ADEL HANALLA, PA-C, ATC

Active

MINA ADEL HANALLA, PA-C, ATC is a Physician Assistant healthcare provider located in MATTOON, Illinois. NPI 1518513845 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · MATTOON, IL

Registration Details

NPI Number
1518513845
Provider Type
Individual
Gender
Male
NPI Issued
Aug 13, 2019 (7.0028104346526 yrs)
Last Updated
Oct 11, 2023
Licenses
096004942 (IL)
085-009956 (IL)

Practice Information

Address
1000 HEALTH CENTER DR
MATTOON, IL, 619384644
Browse IL providers · Browse ZIP 61938
Phone
2172582525
Primary Specialty
Physician Assistant
363A00000X
Additional Specialty
Physician Assistant

Other Physician Assistant Providers in MATTOON, IL

Name Credential NPI
STACEY HARMINSON PA-C 1710093018
MRS. BETHANY AMELIA YOCHUM PA-C 1699923961
ARIELLE A. WOLF PA-C 1255683074
MS. CANDIDA ANN HALLEY PA-C 1639510423
MICHAEL HEISE PA 1740619840
THOMAS DUST PA-C 1477984656
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.