Corcoran, Julia

Corcoran, Julia is an individual health care provider with primary practice located at 1801 W Taylor St 3F Occ Mc 741, Chicago IL 60612-4795. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as her primary health care specialty. Corcoran, Julia can be contacted via phone (312) 996-9313.

Contact Information

Primary practice address
1801 W Taylor St 3F Occ Mc 741 Chicago IL 60612-4795
Phone: (312) 996-9313
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 036082569 Illinois

Profile Details

NPI number 1992790828
LBN Legal business name Corcoran, Julia
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 16th, 2005
Last updated Apr 25th, 2017 - about 9 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 1992790828 NPPES
Illinois Other 1627123 BCBS PROVIDER ID
Illinois MEDICAID 036082569 BCBS PROVIDER ID
Illinois Other 363283051 BCBS PROVIDER ID

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