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

Rebecca Barrick

Individual provider Surgical Physician Assistant · NPI 1952476103

Rebecca Barrick is a Physician Assistant in Peoria, Illinois. Qualified in 2003, 23 years ago. Practices with Central Illinois Dermatology SC, a 5-clinician group. Licensed in Illinois.

Years since qualifying
23
Licensed in
IL
In the registry since
2006

Practice location Address checks out

5401 N Knoxville Ave Ste 115
Peoria, IL 61614-5068
Phone: (309) 691-2903
Fax: (309) 691-2909
Show map & directions

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

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 085002089 (IL)

Record details

NPI number1952476103
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2006
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023
Mailing address5401 N Knoxville Ave Ste 115, Peoria, IL 61614-5095

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Central Illinois Dermatology Sc — 5 clinicians
Accepts Medicare assignment Not indicated

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