MEDICARE: JULIE MADLANGBAYAN APN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	209007962	IL

General Provider Information

NPI Number	:	1427387349
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIE MADLANGBAYAN APN

Provider Business Mailing Address
First Line	:	811 MADISON ST
Second Line	:
City	:	OAK PARK
State	:	IL
Zip	:	60302-4412
Country	:	US
Telephone Number	:	800-323-8622
Fax Number	:	224-225-0392

Provider Business Practice Location Address
First Line	:	3 E GOLF RD
Second Line	:
City	:	ARLINGTON HEIGHTS
State	:	IL
Zip	:	60005-4001
Country	:	US
Telephone Number	:	866-825-3227
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/24/2009
Last Update Date	:	04/26/2022

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