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

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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