Individual provider · Type 1 NPI

Brian Neal Shore, PA C

Physician Assistant · Champaign, IL

NPI number 1376544585 Active

Practice location

2110 Fox Dr
Champaign, IL 61820-7553

Call (217) 366-1237 Map

Mailing address

101 W University Ave
Champaign, IL 61820-3909

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085002428 (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 1376544585

Brian Neal Shore, PA C's National Provider Identifier is 1376544585, issued on Aug 10, 2005. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Champaign, IL. The record was last updated on Mar 17, 2015.