Richard Fassola, PA-C

NPI 1720331671 · on the registry since 2012

Practice

Address: 1932 S Main St
Eureka, IL 61530
Phone: (309) 467-5000
Fax: (309) 467-1500
Organisation at this address: Strong Roots Chiropractic Llc
Preferred Care Chiropractic Ltd
Preferred Care Medical Center Ltd.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

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: 2016-06-15

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