JEFFREY JOSEPH ILLINIK

VIRGINIA BEACH, VA
NPI1184133670
Professional NameJEFFREY JOSEPH ILLINIK
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110005844)
Enumeration Date2017-09-27
Last Update Date2023-01-19
Business Address
JEFFREY JOSEPH ILLINIK Physician assistant
2060 GATOR BLVD
VIRGINIA BEACH, VA 23459-8916
Phone number: 757-763-4150
Mailing Address
JEFFREY JOSEPH ILLINIK Physician assistant
2060 GATOR BLVD
VIRGINIA BEACH, VA 23459-8916
Phone number: 757-763-4150