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

Wanda Santos Ciulla, PHYSICIANASSISTANT

Individual provider General Practice Physician · NPI 1417460833

Wanda Santos Ciulla, PHYSICIANASSISTANT is a General Practice Physician in Paris, Illinois. Licensed in Illinois and New York. Registered with an NPI since 2017.

Licensed in
IL, NY
In the registry since
2017
Specialties on file
5

Practice location Address checks out

509 S Main St
Paris, IL 61944-2325
Phone: (217) 465-8053
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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 085000243 (NY)
General Practice Physician Taxonomy 208D00000X · Licence 085000243 (NY)
Physician Assistant Taxonomy 363A00000X · Licence 085000243 (NY)
Preventive Medicine/Occupational Environmental Medicine Physician Taxonomy 2083P0500X · Licence 085000243 (NY)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 085000243 (IL)

Record details

NPI number1417460833
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedNovember 7, 2017
Last updated in NPPESNovember 7, 2017

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