Provider Demographics
NPI:1770988511
Name:ARGUELLES, ALYSSA (PA)
Entity type:Individual
Prefix:MS
First Name:ALYSSA
Middle Name:
Last Name:ARGUELLES
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:ALYSSA
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:370 E COURTLAND ST
Mailing Address - Street 2:
Mailing Address - City:MORTON
Mailing Address - State:IL
Mailing Address - Zip Code:61550-9054
Mailing Address - Country:US
Mailing Address - Phone:309-291-0899
Mailing Address - Fax:
Practice Address - Street 1:370 E COURTLAND ST
Practice Address - Street 2:
Practice Address - City:MORTON
Practice Address - State:IL
Practice Address - Zip Code:61550-9054
Practice Address - Country:US
Practice Address - Phone:309-291-0899
Practice Address - Fax:309-291-0927
Is Sole Proprietor?:No
Enumeration Date:2014-10-22
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.005247363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant