Healthcare Provider Details

I. General information

NPI: 1386573749
Provider Name (Legal Business Name): JULIANNE ELISABETH DOBEK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

422 N NORTHWEST HWY STE 210
PARK RIDGE IL
60068-3273
US

IV. Provider business mailing address

7244 W FARWELL AVE
CHICAGO IL
60631-1145
US

V. Phone/Fax

Practice location:
  • Phone: 847-699-9757
  • Fax: 847-696-3626
Mailing address:
  • Phone: 773-558-4894
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: