Doctor profile · Federal record
Dr. Courtney Teller, PA-C
Physician Assistant · Dixon, IL
- NPI 1417208505
- 14 yrs on file
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
102 S Hennepin Ave
Dixon, IL 610213013
(815) 285-8523
fax (815) 285-8901 - Additional location
-
215 E 1St St Ste 215
Dixon, IL 610213166
(815) 285-5420
fax (815) 285-5426
Credentials & registration
- NPI registered
- September 2012 — 14 yrs on file
- Profile last updated
- August 27, 2018
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Illinois #085004426
- Medicaid
- IL #329785745001
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1417208505. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$57
Transactions
3
Manufacturers
3
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $23.95 | |
| Pfizer INC. | 1 | $19.68 | |
| Exeltis, USA INC. | 1 | $13.33 |
By nature of payment
Frequently asked questions
What is Dr. Courtney Teller's medical specialty?
Dr. Courtney Teller practices Physician Assistant in Dixon, IL.
Where does Dr. Courtney Teller practice?
Dr. Courtney Teller practices at 102 S Hennepin Ave, Dixon, IL 610213013. Office phone: 8152858523.
What is Dr. Courtney Teller's NPI?
Dr. Courtney Teller's National Provider Identifier (NPI) is 1417208505, issued by NPPES.