Individual
MS. KARINA LIZETH AVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC, CES
Contact information
Practice address
600 LINCOLN AVE, CHARLESTON, IL 61920-3099
(217) 581-3811
(217) 581-8300
Mailing address
600 LINCOLN AVE, CHARLESTON, IL 61920-3099
(217) 581-3811
(217) 581-8300
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004844
IL
2255A2300X
Athletic Trainer
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Other
Enumeration date
04/17/2017
Last updated
03/09/2020
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