Healthcare Provider Details

I. General information

NPI: 1356237275
Provider Name (Legal Business Name): JULIA GIRON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7421 MADISON ST
FOREST PARK IL
60130-1575
US

IV. Provider business mailing address

7421 MADISON ST
FOREST PARK IL
60130-1575
US

V. Phone/Fax

Practice location:
  • Phone: 630-965-6364
  • Fax:
Mailing address:
  • Phone: 630-965-6364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number146.018807
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: