Individual provider · Type 1 NPI

Shelly Jo Reiten, PAC

Physician Assistant · Champaign, IL

NPI number 1114994928 Active

Practice location

1701 W. Curtis
Champaign, IL 61822-9678

Mailing address

PO Box 6002, NCW4
Urbana, IL 61803-6002

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085001205 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1114994928

Shelly Jo Reiten, PAC's National Provider Identifier is 1114994928, issued on Mar 1, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Champaign, IL. The record was last updated on Jul 2, 2025.