Jaclyn Joy Hake, PA-C | |
715 Broadway St, Gillespie, IL 62033-1166 | |
(217) 839-2689 | |
(217) 839-2689 |
Full Name | Jaclyn Joy Hake |
---|---|
Gender | Female |
Speciality | Physician Assistant - Medical |
Location | 715 Broadway St, Gillespie, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1497994727 | NPI | - | NPPES |
085003429 | Other | IL | IL LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363AM0700X | Physician Assistant - Medical | 085003429 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Joy Hake, PA-C 715 Broadway St, Gillespie, IL 62033-1166 Ph: (217) 839-2689 | Jaclyn Joy Hake, PA-C 715 Broadway St, Gillespie, IL 62033-1166 Ph: (217) 839-2689 |
Jason K Manthei, PA Physician Assistant Medicare: Medicare Enrolled Practice Location: 715 Broadway St, Gillespie, IL 62033 Phone: 217-839-4491 | |
Marsha A Wright, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 715 Broadway St, Gillespie, IL 62033 Phone: 217-839-4491 | |
Donna Rasmussen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 109 E Maple St, Gillespie, IL 62033 Phone: 888-349-4482 |