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

Courtney L Teller, PA-C

Individual provider Physician Assistant · NPI 1417208505

Courtney L Teller, PA-C is a Physician Assistant in Dixon, Illinois. Works from 2 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2012
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

102 S Hennepin Ave
Dixon, IL 61021-3013
Phone: (815) 285-8523
Fax: (815) 285-8901
Show map & directions

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

Additional practice locations (1)

  • 215 E 1st St Ste 215, Dixon, IL 61021-3166 — (815) 285-5420

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085004426 (IL)

Record details

NPI number1417208505
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedSeptember 28, 2012
Last updated in NPPESAugust 27, 2018

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