| Mrs Shirley Moody, PA | |
|
625 E Us Highway 36, Tuscola, IL 61953-7505 | |
| (217) 253-1235 | |
| (217) 253-4238 |
| Full Name | Mrs Shirley Moody |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 625 E Us Highway 36, Tuscola, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770700585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 085-002240 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Shirley Moody, PA 5414 Woodard School Road, Salem, IL 62881-4548 Ph: (618) 548-0405 | Mrs Shirley Moody, PA 625 E Us Highway 36, Tuscola, IL 61953-7505 Ph: (217) 253-1235 |
Angela Grimaldi, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 301 E Southline Rd, Tuscola, IL 61953 Phone: 217-253-5231 | |
Kaitlin Coltharp, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1100 Tuscola Blvd, Tuscola, IL 61953 Phone: 217-253-4764 Fax: 217-253-4886 |