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Search › Illinois › 363A00000X

Andrea Black, PA-C

NPI 1487922738 · on the registry since 2011

Practice

Address
520 Valley View Dr
Moline, IL 61265
Phone
(309) 762-3621
Fax
(309) 762-3690
Organisation at this address
Ora Orthopedics Pc
Andrew Abatiell Md Pllc
Quad City Prosthetic Inc
Quad City Ambulatory Surgery Center Llc
Apollo Anesthesia And Pain Management, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
51

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363A00000X
Licence states on file
IA, IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-02-13

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