Bruce, Julie

Bruce, Julie is an individual health care provider with primary practice located at 3500 W Peterson Ave Suite 401, Chicago IL 60659-3306. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Bruce, Julie can be contacted via phone (773) 588-3090.

Contact Information

Primary practice address
3500 W Peterson Ave Suite 401 Chicago IL 60659-3306
Phone: (773) 588-3090
Fax: (773) 588-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046010027 Illinois

Profile Details

NPI number 1144419847
LBN Legal business name Bruce, Julie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2007
Last updated Jul 9th, 2014 - about 12 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 1144419847 NPPES
Other P01107047 RAILROAD MEDICARE
MEDICAID 046010027 RAILROAD MEDICARE
Other 0001604768 RAILROAD MEDICARE

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