Individual
JILLIAN CHRISTINE DETERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LAFAYETTE AVE E, MATTOON, IL 61938-4641
(217) 235-5449
Mailing address
2600 COMPASS RD, GLENVIEW, IL 60026-8001
(877) 787-3430
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160.008396
IL
Other
Enumeration date
04/10/2021
Last updated
04/10/2021
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