Healthcare Provider Details

I. General information

NPI: 1023679073
Provider Name (Legal Business Name): JULIA ELLEN CARTLEDGE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2019
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5140 N CALIFORNIA AVE FL 6
CHICAGO IL
60625-3645
US

IV. Provider business mailing address

5140 N CALIFORNIA AVE FL 6
CHICAGO IL
60625-3645
US

V. Phone/Fax

Practice location:
  • Phone: 773-878-7787
  • Fax:
Mailing address:
  • Phone: 773-878-7787
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number036.159896
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: