ALYSON DYCK (NPI# 1063024388) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063024388 |
| Entity Type | Individual |
| Full Name | ALYSON DYCK |
| Practice Address |
2540 Health Services Ssb Student Services Building Normal IL 61790-2540 |
| Mailing Address |
2540 Health Services Ssb Student Services Building Normal IL 61790-2540 |
| Practice Telephone | 3094388655 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 085.007846 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2540 HEALTH SERVICES SSB STUDENT SERVICES BUILDING |
| City | NORMAL |
| State | IL |
| Zip Code | 61790-2540 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124478714 | Noelle Selkow | Specialist/Technologist | 251c Mcormick Hall, Campus Box 5120, Normal, IL 61790 | 2016-06-15 |
| 1679920375 | Yvette Renee Pigman | Nurse Practitioner | 201 North University, Illinois State Studnet Health Services, Normal, IL 61790 | 2016-05-23 |
| 1912263815 | Kelly Haley | Specialist/Technologist | 7130 Horton Fieldhouse, Normal, IL 61790 | 2012-04-04 |
| 1023391331 | Marie Rupert | Pharmacist | 201 N University Street, Normal, IL 61790 | 2011-09-22 |
| 1770615502 | Illinois State University | Psychologist | 408 Fairchild Hall, Campus Box 4625, Normal, IL 61790 | 2007-03-09 |
| 1578161865 | Abigail Hardesty | Nurse Practitioner | 201 Illinois State Univ, Normal, IL 61790-0001 | 2020-10-09 |
| 1245846989 | Susan M Carl | Nurse Practitioner | 201 North University Street, Normal, IL 61790-0001 | 2020-09-18 |
| 1891336277 | Rebecca Ludolph | Registered Nurse | 201 N University, Normal, IL 61790-0001 | 2019-10-07 |
| 1184188633 | Rachel Elizabeth Heinz | Specialist/Technologist | 347 Illinois State Univ, Normal, IL 61790-0001 | 2019-01-29 |
| 1487118063 | Jean Sawyer | Speech-Language Pathologist | Mail Code 4720, Normal, IL 61790-0001 | 2019-01-28 |
| Find all providers in zip 61790 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | 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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699968602 | Anastasia Seeram | Physician Assistant | 1604 Visa Dr., Ste 1, Normal, IL 61761 | 2007-08-22 |
| 1790721298 | Dana Dalbak | Physician Assistant | 2010 Jacobssen Dr, Normal, IL 61761-6280 | 2006-06-22 |
| 1063419679 | John D Fulk | Physician Assistant | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2005-06-29 |
| 1659910438 | Adam Joseph Mckillip | Physician Assistant | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-12-27 |
| 1093365678 | Kelsey Elizabeth Shrier | Physician Assistant | 207 Landmark Dr Ste A, Normal, IL 61761-3195 | 2019-09-16 |
| 1801358627 | Nicholas Gurganious | Physician Assistant | 1304 Franklin Ave, Normal, IL 61761-3558 | 2019-04-01 |
| 1043676109 | Amy J Stites | Physician Assistant | 1302 Franklin Ave, Suite 4800, Normal, IL 61761-3551 | 2016-01-05 |
| 1770782062 | Shaun Michael Rudicil | Physician Assistant | 2200 Fort Jesse Rd, Suite 250, Normal, IL 61761-6286 | 2007-07-16 |
| 1710024674 | Joseph V Piller | Physician Assistant | 1300 Franklin Ave Ste 210, Normal, IL 61761-3588 | 2007-01-31 |
| 1003994104 | Karen Jane Bandusch Harris | Physician Assistant | 405 Kays Drive, Normal, IL 61761 | 2006-11-02 |
| Find all providers in NORMAL | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.