Wilks, Rakisha
Wilks, Rakisha is an individual health care provider with primary practice located at 1802 S Mattis Ave , Champaign IL 61821-5923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Wilks, Rakisha can be contacted via phone (217) 365-2855.Contact Information
Primary practice address
1802 S Mattis Ave
Champaign IL 61821-5923
Phone: (217) 365-2855
Fax: (217) 365-2856
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 209019430 | Illinois |
Profile Details
| NPI number | 1841843539 |
|---|---|
| LBN Legal business name | Wilks, Rakisha |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2019 |
| Last updated | Aug 27th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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