| Doctor Name: | MR. DENNIS R PRICE |
| NPI Number: | 1659314078 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | 085000233 |
| Business Practice Address: | 619 N. Chicago St. Rossville, IL - 609630248 |
| Business Phone Number: | 2177484141 |
| Business Fax Number: | 2177486973 |
| Mailing Address: | 611 W. Park St., Bwpc URBANA |
| State: | IL |
| Postal Code: | 618012500 |
| Phone Number: | 2173836792 |
| Fax Number: | |
| NPI Enumeration Date: | 06/14/2006 |
| NPI Last Update Date: | 04/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 085000233 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |