Individual provider · Type 1 NPI

Richard Fassola, PA-C

Physician Assistant · Eureka, IL

NPI number 1720331671 Active

Practice location

1932 S Main St
Eureka, IL 61530-1666

Fax (309) 467-1500

Mailing address

5908 Greenview Rd
Lisle, IL 60532-2904

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085-000933 (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 1720331671

Richard Fassola, PA-C's National Provider Identifier is 1720331671, issued on Oct 16, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Eureka, IL. The record was last updated on Jun 15, 2016.