Individual
EULOGIO I TALILI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5600 N GLEN ELM DR, PEORIA, IL 61614-4340
(309) 693-8777
Mailing address
6323 CROSSWYND CT, EDWARDS, IL 61528-7517
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070.006966
IL
Other
Enumeration date
03/27/2019
Last updated
03/27/2019
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