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

Julie A Desutter, PA

Individual provider Medical Physician Assistant · NPI 1093847600

Julie A Desutter, PA is a Medical Physician Assistant in Peoria, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

200 E Pennsylvania Ave Ste 212
Peoria, IL 61603-3089
Phone: (309) 676-8123
Fax: (309) 676-8455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 085001405 (IL)

Record details

NPI number1093847600
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 9, 2007
Last updated in NPPESDecember 11, 2008
Mailing address200 E Pennsylvania Ave, Suite 212, Peoria, IL 61603-3089

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