Search › Illinois › 363A00000X
Courtney Teller, PA-C
NPI 1417208505 · on the registry since 2012
Practice
- Address
- 102 S Hennepin Ave
Dixon, IL 61021 - Phone
- (815) 285-8523
- Fax
- (815) 285-8901
- Organisation at this address
- Sauk Valley Surgical, Pc
Sinnissippi Centers, Inc.
Sinnissippi Centers, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 31
Additional practice sites
- 215 E 1st St Ste 215, Dixon, 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
- 2018-08-27
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