Individual
JULIE EVILSIZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
201 LAFAYETTE AVE, MATTOON, IL 61938-4409
(217) 235-5449
(217) 235-0611
Mailing address
550 FRONTAGE RD, SUITE 2415, NORTHFIELD, IL 60093-1202
(847) 441-5593
(847) 441-0734
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
160002480
IL
Other
Enumeration date
06/10/2010
Last updated
06/10/2010
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