Juliano, Gina

Juliano, Gina is an individual health care provider with primary practice located at 1740 W Taylor St , Chicago IL 60612-7232. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Juliano, Gina can be contacted via phone (312) 996-2000.

Contact Information

Primary practice address
1740 W Taylor St Chicago IL 60612-7232
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 209005419 Illinois

Profile Details

NPI number 1861606873
LBN Legal business name Juliano, Gina
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2007
Last updated Oct 31st, 2023 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861606873 NPPES
Illinois Other 920540 MEDICARE (GROUP)
Illinois MEDICAID 041210961 MEDICARE (GROUP)
Illinois Other F400092924 MEDICARE (GROUP)

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