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RICHARD FASSOLA PA-C
NPI 1720331671
Physician Assistant in Eureka, IL

Active since October 16, 2012
1932 S MAIN ST, EUREKA, IL 61530(309) 467-5000(309) 467-1500 Get Directions Write a Review

NPPES record last updated: June 15, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Fassola Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RICHARD FASSOLA PA-C (NPI 1720331671) is an individual physician assistant in Eureka, Illinois, licensed in Illinois (085-000933) and active in the NPI registry since October 2012.

NPPES Registry Identity

NPI1720331671
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRICHARD FASSOLACredential: PA-C
Location Address1932 S MAIN STEureka, IL 61530-1666
Mailing Address5908 Greenview RdLisle, IL 60532-2904 · (815) 474-2678
Phone(309) 467-5000
Fax(309) 467-1500
Sole ProprietorNo
Enumeration DateOctober 16, 2012
Last NPPES UpdateJune 15, 2016
✔ NPI 1720331671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085-000933
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

1932 S MAIN ST, Eureka, IL 61530
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Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PREFERRED CARE CHIROPRACTIC LTD
Chiropractor
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 826-2701
STEPHANIE R RINEHART
Nurse Practitioner (Family)
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 467-5000
PREFERRED CARE MEDICAL CENTER LTD.
Clinical Nurse Specialist (Family Health)
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 467-5000
MRS. AMANDA CATHERINE WACKT FNP-BC
Nurse Practitioner (Family)
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 467-5000
TAMRA BRISBIN PA
Physician Assistant
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 467-5000
MONICA MALCOME LMT
Massage Therapist
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 467-5000
CATHERINE GROMER DC
Chiropractor
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 467-5000
VICTORIA L DIEKHOFF LMT
Massage Therapist
1932 S MAIN ST
EUREKA, IL 61530
Woodford County (309) 467-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Richard Fassola's NPI number?

The NPI number for Richard Fassola is 1720331671. It was assigned to this individual provider in the NPPES registry on October 16, 2012.

Where is Richard Fassola located?

Richard Fassola practices at 1932 S Main St, Eureka, IL 61530. The listed phone number is (309) 467-5000.

What is Richard Fassola's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Richard Fassola was last updated on June 15, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.