Search › Illinois › 363A00000X
Michael De Venecia, PA-C
NPI 1457046351 · on the registry since 2023
Practice
- Address
- 841 Broadmeadow Rd
Rantoul, IL 61866 - Phone
- (217) 282-3010
- Organisation at this address
- Osf Multi-Specialty Group
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363AM0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-04-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois