Davis, Julia

Davis, Julia is an individual health care provider with primary practice located at 675 N Saint Clair St Ste 15-200 , Chicago IL 60611-5967. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Davis, Julia can be contacted via phone (312) 695-8182.

Contact Information

Primary practice address
675 N Saint Clair St Ste 15-200 Chicago IL 60611-5967
Phone: (312) 695-8182
Fax: (312) 695-4303
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 147001842 Illinois

Profile Details

NPI number 1104465673
LBN Legal business name Davis, Julia
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2020
Last updated Dec 8th, 2021 - about 4 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 1104465673 NPPES
Connecticut MEDICAID 004235900

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