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

NICHOLE SUZANNE SUCKOW, PA-C

Active Sole Proprietor

NICHOLE SUZANNE SUCKOW, PA-C is a Physician Assistant healthcare provider located in EFFINGHAM, Illinois. NPI 1902892318 is currently active in the NPPES registry. Verify at CMS.

Physician Assistant · EFFINGHAM, IL

Registration Details

NPI Number
1902892318
Provider Type
Individual
Gender
Female
NPI Issued
Sep 21, 2005 (20.860161357872 yrs)
Last Updated
Nov 2, 2011
License
085-002146 (IL)
Sole Proprietor
Yes

Practice Information

Address
912 N HENRIETTA ST
EFFINGHAM, IL, 624011788
Browse IL providers · Browse ZIP 62401
Phone
2173423337
Fax
2173423338
Primary Specialty
Physician Assistant
363A00000X

Other Physician Assistant Providers in EFFINGHAM, IL

Name Credential NPI
CARI A. FEARDAY PA-C 1245346535
MS. KAREN L. ROBERT P.A. 1003911991
BOBBIE J. MILLER PA-C 1558461772
MRS. STEFANI JANE BEVERLIN PAC 1497884134
NICKOLAS A WILLIAMS PA-C 1548558950
FRANCES C. DEADMOND PA-C 1255787263
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.