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

Jeffrey Joseph Illinik, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1184133670

Jeffrey Joseph Illinik, PHYSICIANASSISTANT is a Physician Assistant in Virginia Beach, Virginia. Licensed in Virginia. Registered with an NPI since 2017.

Licensed in
VA
In the registry since
2017

Practice location Address checks out

2060 Gator Blvd
Virginia Beach, VA 23459-8916
Phone: (757) 763-4150
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0110005844 (VA)

Record details

NPI number1184133670
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 27, 2017
Last updated in NPPESJanuary 19, 2023
Certification dateJanuary 19, 2023

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