Provider Demographics
NPI:1871768432
Name:POWERS, JULIE LYNN (DPT)
Entity type:Individual
Prefix:MS
First Name:JULIE
Middle Name:LYNN
Last Name:POWERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3551 HIGHLAND AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-2100
Mailing Address - Country:US
Mailing Address - Phone:630-275-2600
Mailing Address - Fax:630-275-2698
Practice Address - Street 1:3551 HIGHLAND AVE
Practice Address - Street 2:SUITE 100
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-2100
Practice Address - Country:US
Practice Address - Phone:630-275-2600
Practice Address - Fax:630-275-2698
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070.015053225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist