Search › Illinois › 363A00000X
Olynda Mileon-Etuk, MPH, MS, PA-C
NPI 1396216354 · on the registry since 2018 · sole proprietor
Practice
- Address
- 1200 W State St
Rockford, IL 61102 - Phone
- (815) 490-1600
- Fax
- (815) 490-1881
- Organisation at this address
- Walgreen Co
Laboratory Corporation Of America
Crusaders Central Clinic Association
Crusaders Central Clinic Association
Crusaders Central Clinic AssociationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 173
Additional practice sites
- 1215 N Alpine Rd, Rockford, IL
- 1215 N Alpine Rd, Rockford, IL
- 1215 N Alpine Rd, Rockford, IL
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
- 2019-03-19
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