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NICHOLAS IDLE, PA

PA

Physician Assistant

NPI: 1467738005IndividualAccepts Medicare

Specialties, Licenses & Credentials

Physician AssistantPrimary

Physician Assistant

Code: 363A00000X

085004157(IL)
Surgical Physician Assistant

Physician Assistant — Surgical

Code: 363AS0400X

085.004157(IL)

Education

OTHER

Class of 2011

Contact & Hours

Address
611 W PARK ST
URBANA, IL 61801

Quick Facts

NPI
1467738005
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
2
Locations
1
Years in Practice
15

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