Individual
JUSTIN W JELINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
712 S MILWAUKEE AVE, LIBERTYVILLE, IL 60048-3279
(847) 362-1848
(847) 362-3351
Mailing address
2030 E MAIN ST, GALESBURG, IL 61401-5460
(309) 343-3570
(309) 343-3571
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.004721
IL
363A00000X
Physician Assistant
10001450A
IN
Other
Enumeration date
09/18/2012
Last updated
06/28/2016
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