Michael De Venecia, PA-C

NPI 1457046351 · on the registry since 2023

Practice

Address: 841 Broadmeadow Rd
Rantoul, IL 61866
Phone: (217) 282-3010
Organisation at this address: Osf Multi-Specialty Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: Physician Assistant
363A00000X
Also registered as: Medical Physician Assistant
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2023-04-06

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