Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AJA LYSTILA, MD
ActiveAJA LYSTILA, MD is a Family Medicine healthcare provider located in MATTOON, Illinois. NPI 1215159744 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · MATTOON, IL
Registration Details
- NPI Number
- 1215159744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 3, 2007 (19.287720996775 yrs)
- Last Updated
- Mar 9, 2015
- Licenses
-
036119163 (IL)036119163 (IL)
Practice Information
- Address
-
2512 HURST DR.FAMILY MEDICINEMATTOON, IL, 619389388Browse IL providers · Browse ZIP 61938
- Phone
- 2172585900
- Fax
- 2172585904
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in MATTOON, IL
| Name | Credential | NPI |
|---|---|---|
| JEFFREY J JENSON | M.D. | 1740211390 |
| ANDREW ROBERT GAGE | M.D. | 1013931567 |
| DR. DAWN MIESNER | D.O. | 1255343026 |
| GREGORY DETERS | M.D. | 1497861702 |
| ROBERT WOCHNER | MD | 1164538864 |
| MARLENE KREMER | M.D. | 1831205749 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.