Individual
MISS JULIA CORWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, PA-C; MS, ATC
Contact information
Practice address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-6400
Mailing address
1418 COLLEGE DR, MOUNT CARMEL, IL 62863-2638
(618) 263-6400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096001438
IL
363A00000X
Physician Assistant
Primary
085005613
IL
Other
Enumeration date
05/26/2006
Last updated
09/28/2018
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