Healthcare Provider Details

I. General information

NPI: 1134456742
Provider Name (Legal Business Name): JULIA CAITLIN ESPEL MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/03/2009
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11900 SOUTHWEST HWY STE 101
PALOS PARK IL
60464-1307
US

IV. Provider business mailing address

11900 SOUTHWEST HWY
PALOS PARK IL
60464-1200
US

V. Phone/Fax

Practice location:
  • Phone: 708-274-4900
  • Fax: 708-274-4949
Mailing address:
  • Phone: 708-274-4900
  • Fax: 708-274-4949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number036130027
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: