Individual provider · Type 1 NPI

Rebecca Ultch, PA

Medical Physician Assistant · Peoria, IL

NPI number 1821054297 Active

Practice location

7309 N Knoxville Ave
Peoria, IL 61614-2085

Call (309) 692-9898 Map

Fax (309) 692-9055

Mailing address

PO Box 19248
Springfield, IL 62794-9248

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X085002060 (IL)

Medical Physician Assistant: Definition to come...

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About NPI 1821054297

Rebecca Ultch, PA's National Provider Identifier is 1821054297, issued on Apr 25, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Peoria, IL. The record was last updated on Feb 24, 2025.