O'Brien, Julie L

O'Brien, Julie L is an individual health care provider with primary practice located at 8600 N State Route 91 , Peoria IL 61615-9541. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist, which is considered as her primary health care specialty. O'Brien, Julie L can be contacted via phone (309) 683-5409.

Contact Information

Primary practice address
8600 N State Route 91 Peoria IL 61615-9541
Phone: (309) 683-5409
Fax: (309) 683-5428
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Clinical Nurse Specialist 364S00000X 209-002981 Illinois

Profile Details

NPI number 1457485328
LBN Legal business name O'Brien, Julie L
Credentials APN, CNS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2007
Last updated Oct 21st, 2008 - about 16 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 1457485328 NPPES
Illinois Other 809840 MEDICARE GROUP PTAN

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