IndividualActive
Alec Neitzel
NPI 1366260820 · Physician Assistant · Urbana, IL
Provider details
- NPI number
- 1366260820
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
1111 W Kenyon Rd Ste B
Urbana, IL 61801-1006
Phone: (217) 819-3376
Approximate (ZIP-level) locationGet directions
Mailing address
1111 W Kenyon Rd Ste B
Urbana, IL 61801-1006
Registry dates
- Enumerated
- 2024-10-02
- Last updated
- 2024-10-02
- Certified
- 2024-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.