Search › Illinois › 363AM0700X
Gregory Churchill, PHYSICIAN ASSISTANT
NPI 1053390237 · on the registry since 2006
Practice
- Address
- 310 N 7 Hills Rd
O Fallon, IL 62269 - Phone
- (618) 624-6181
- Fax
- (618) 624-7172
- Clinicians at this address
- 12
Additional practice sites
- 4500 Memorial Dr Ste 340, Belleville, IL
Registry record
- Primary taxonomy
- 363AM0700X
363AM0700X
- Also registered as
- 363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-03-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois