Corcoran, Julia
Corcoran, Julia is an individual health care provider with primary practice located at 1801 W Taylor St 3F Occ Mc 741, Chicago IL 60612-4795. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Corcoran, Julia can be contacted via phone (312) 996-9313.Contact Information
Primary practice address
1801 W Taylor St 3F Occ Mc 741
Chicago IL 60612-4795
Phone: (312) 996-9313
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery | 2086S0122X | 036082569 | Illinois |
Profile Details
NPI number | 1992790828 |
---|---|
LBN Legal business name | Corcoran, Julia |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 16th, 2005 |
Last updated | Apr 25th, 2017 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1992790828 | NPPES |
Illinois | Other | 1627123 | BCBS PROVIDER ID |
Illinois | MEDICAID | 036082569 | BCBS PROVIDER ID |
Illinois | Other | 363283051 | BCBS PROVIDER ID |
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