ANGELA M PROSISE

SPRINGFIELD, IL
NPI1578647947
Former NameANGELA M CARR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: IL  085-002151)
Enumeration Date2006-10-24
Last Update Date2012-03-21
Business Address
-- ANGELA M PROSISE P.A.
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706
Mailing Address
-- ANGELA M PROSISE P.A.
PO BOX 19420
SPRINGFIELD, IL 62794-9420
Phone number: 217-788-0706
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