NICHOLAS WARNECKE

PEORIA, IL
NPI1053563643
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085003358)
Enumeration Date2008-10-15
Last Update Date2008-10-15
Business Address
-- NICHOLAS WARNECKE PA-C
112 NE CRESCENT AVE
PEORIA, IL 61606-1901
Phone number: 309-672-4670
Mailing Address
-- NICHOLAS WARNECKE PA-C
5100 RELIABLE PKWY
CHICAGO, IL 60686-0001
Phone number: 309-672-4809
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