Stride, Julie M

Stride, Julie M is an individual health care provider with primary practice located at 1200 N Westmoreland Rd , Lake Forest IL 60045-1601. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as his primary health care specialty. Stride, Julie M can be contacted via phone (847) 234-6164.

Contact Information

Primary practice address
1200 N Westmoreland Rd Lake Forest IL 60045-1601
Phone: (847) 234-6164
Fax: (847) 535-7840
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X Illinois

Profile Details

NPI number 1972538742
LBN Legal business name Stride, Julie M
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 9th, 2007 - about 17 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 1972538742 NPPES
Illinois Other 0004905313 BLUE CROSS BLUE SHIELD
Illinois Other 5020028 BLUE CROSS BLUE SHIELD

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