Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Angela Poblocki

Individual provider Physician Assistant · NPI 1982133294

Angela Poblocki is a Physician Assistant in Bartonville, Illinois. Qualified in 2016, 10 years ago. Practices with Proctor Health Systems, a 132-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
10
In the registry since
2017

Practice location Address checks out

1506 W Garfield Ave
Bartonville, IL 61607-1755
Phone: (309) 697-2416
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1419 Salt Springs Rd, Syracuse, NY 13214-1302 — (315) 445-4100

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1982133294
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2017
Last updated in NPPESAugust 13, 2025
Certification dateAugust 13, 2025
Mailing address5723 N Autumn Ridge Ct Apt C, Peoria, IL 61615-3078

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Proctor Health Systems — 132 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare