Individual provider · Type 1 NPI

Zachary R. Gustavison, PA-C

Physician Assistant · Herrin, IL

NPI number 1316108970 Active

Practice location

201 S 14th St
Herrin, IL 62948-3631

Call (618) 942-2171 Map

Fax (618) 351-4917

Mailing address

PO Box 3988
Carbondale, IL 62902-3988

Other practice locations

  • 605 N 12th St, Mount Vernon, IL 62864-2857 · (586) 263-2601
  • 1 Saint Anthonys Way, Alton, IL 62002-4568 · (618) 465-2571
  • 2808 Outer Dr, Marion, IL 62959-5207 · (618) 993-3817
  • 901 S Commercial St, Harrisburg, IL 62946-2640 · (618) 993-3817
  • 405 W Jackson St, Carbondale, IL 62901-1462 · (618) 549-0721
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 · (618) 684-3156

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X5601005286 (MI)
Physician Assistant Primary 363A00000X085-003467 (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 1316108970

Zachary R. Gustavison, PA-C's National Provider Identifier is 1316108970, issued on Jun 17, 2008. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Herrin, IL. The record was last updated on Jul 18, 2024.