NPI 1003867342

Julie C Hart, PAC

Practitioner Physician Assistant Springfield, IL

Practice location

Address: 2200 Wabash Ave, Springfield, IL 62704-5352
Phone: (217) 528-7541
Mailing address: 1025 S 6th St, Springfield, IL 62703-2403

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 085001461 (IL)

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Registry record

NPI: 1003867342
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 May 2006
Record last updated: 22 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.