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Julia Deatherage
NPI 1962191726 · on the registry since 2023
Practice
- Address
- 402 Federal Dr
Crystal Lake, IL 60014 - Phone
- (779) 220-6340
- Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 103K00000X
103K00000X
- Sex
- Female
- Record last updated
- 2024-01-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois