Vanderbilt, Julie G

Vanderbilt, Julie G is an individual health care provider with primary practice located at 2320 High St , Blue Island IL 60406-2426. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Vanderbilt, Julie G can be contacted via phone (708) 388-5500.

Contact Information

Primary practice address
2320 High St Blue Island IL 60406-2426
Phone: (708) 388-5500
Fax: (708) 388-5672
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036090162 Illinois

Profile Details

NPI number 1376507657
LBN Legal business name Vanderbilt, Julie G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Oct 31st, 2019 - about 6 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 1376507657 NPPES
Illinois MEDICAID 036090162
Illinois Other 080112274

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