Individual
JULIE STATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1465 COMMERCE DR, ALGONQUIN, IL 60102-5916
(847) 854-3522
(847) 854-3721
Mailing address
25 N WINFIELD RD STE 2202, WINFIELD, IL 60190-1379
(630) 307-7799
(630) 307-2277
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
085.010189
IL
363A00000X
Physician Assistant
Primary
085010189
IL
Other
Enumeration date
04/27/2023
Last updated
08/15/2024
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