Search › Illinois › 363LF0000X
Paul Havrilka, APRN, FNP-C
NPI 1801071543 · on the registry since 2007
Practice
- Address
- 208 E 3rd St
Centralia, IL 62801 - Phone
- (618) 244-4800
- Fax
- (618) 532-3128
- Organisation at this address
- Dr Mark C Hurst Optometrist Ltd
Inferred from a shared address, not stated in the registry.
Additional practice sites
- 1003 E Mccord St, Centralia, IL
- 104 E Market St, Mc Leansboro, IL
- 602 S 42nd St, Mount Vernon, IL
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 163W00000X
163W00000X
363LF0000X - Licence states on file
- MO, IL, AK
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-10-20
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