Individual
KAITLYN JUILFS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4802 S. IL-159, GLEN CARBON, IL 62034
(618) 451-0500
Mailing address
4802 S STATE ROUTE 159, GLEN CARBON, IL 62034-1904
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209026034
IL
Other
Enumeration date
09/29/2022
Last updated
03/05/2023
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