AJA LYSTILA

MATTOON, IL
NPI1215159744
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: IL  036119163)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: IL  036119163)
Enumeration Date2007-05-03
Last Update Date2015-03-09
Business Address
-- AJA LYSTILA MD
2512 HURST DR. FAMILY MEDICINE
MATTOON, IL 61938-9388
Phone number: 217-258-5900
Mailing Address
-- AJA LYSTILA MD
611 W. PARK ST. BWPC
URBANA, IL 61801-2500
Phone number: 217-383-6792