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Jesse Bueza, PA-C
NPI 1700032067 · on the registry since 2008
Practice
- Address
- 405 Rushing Dr
Herrin, IL 62948 - Phone
- (618) 993-3300
- Fax
- (618) 993-0262
- Organisation at this address
- Logan Primary Care
Logan Primary Care
Logan Primary Care
Logan Primary Care Service Corp.
Logan Primary Care Service CorporationInferred from a shared address, not stated in the registry. - Clinicians at this address
- 30
Additional practice sites
- 502 W Saint Louis St Ste 4, West Frankfort, IL
- 2601 W Main St, Carbondale, IL
- 117 E Clark St, Harrisburg, IL
Registry record
- Primary taxonomy
- Physician Assistant
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-10-10
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