Individual
JULIA ELIZABETH ANTOLINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-8730
Mailing address
2124 CORNELL RD, CLEVELAND, OH 44106-3804
(216) 368-8730
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
085-006353
IL
363A00000X
Physician Assistant
Primary
085006353
IL
363A00000X
Physician Assistant
50.008918RX
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
085-006353
STATE LICENSE
IL
Enumeration date
10/12/2017
Last updated
09/26/2025
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