SearchIllinois363A00000X

Colline Gusse, PA

NPI 1295706505 · on the registry since 2006

Practice

Address
1107 S Division Ave
Ksb Medical Group
Ashton, IL 61006
Phone
(815) 453-1212
Fax
(815) 453-2823

Registry record

Primary taxonomy
363A00000X
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-07-13

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