Healthcare Provider Details

I. General information

NPI: 1013841774
Provider Name (Legal Business Name): JULIA GOLD MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 W CHICAGO AVE STE 410
CHICAGO IL
60654-2821
US

IV. Provider business mailing address

808 N CLEVELAND AVE STE 410
CHICAGO IL
60610-3663
US

V. Phone/Fax

Practice location:
  • Phone: 872-326-8344
  • Fax: 312-878-0073
Mailing address:
  • Phone: 872-326-8344
  • Fax: 312-878-0073

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: JULIA GOLD
Title or Position: OWNER
Credential: MD
Phone: 872-326-8344