Individual
JULIA C MINTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
870 N MILWAUKEE AVE, VERNON HILLS, IL 60061-1521
(847) 475-2273
(847) 535-7761
Mailing address
870 N MILWAUKEE AVE, VERNON HILLS, IL 60061-1521
(847) 475-2273
(847) 535-7761
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085005892
IL
363A00000X
Physician Assistant
PA61148836
WA
363A00000X
Physician Assistant
PA9112251
FL
363AM0700X
Medical Physician Assistant
PA61148836
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2179203
—
WA
Enumeration date
04/08/2015
Last updated
08/25/2023
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