REBECCA ULTCH

PEORIA, IL
NPI1821054297
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: IL  085002060)
Enumeration Date2006-04-25
Last Update Date2025-02-24
Business Address
REBECCA ULTCH PA
7309 N KNOXVILLE AVE
PEORIA, IL 61614-2085
Phone number: 309-692-9898
Mailing Address
REBECCA ULTCH PA
PO BOX 19248
SPRINGFIELD, IL 62794-9248
Phone number: 217-528-7541