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NPI Code Detail

MEDICARE: DR. CHRISTINA JUBER DPM

MEDICARE: DR. CHRISTINA JUBER DPM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1213ES0103XFoot & Ankle Surgery PodiatristPENDINGIL

General Provider Information

NPI Number : 1477849271
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CHRISTINA JUBER DPM
Provider Business Mailing Address
First Line : 2 ELM CREEK DR
Second Line : APR 211
City : ELMHURST
State : IL
Zip : 60126-5267
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1226 W TAYLOR ST
Second Line :
City : CHICAGO
State : IL
Zip : 60607-4709
Country : US
Telephone Number : 312-243-3769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2011
Last Update Date : 06/21/2011

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