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NPI Code Detail

MEDICARE: JULIA C SHORE APRN, CNP

MEDICARE: JULIA C SHORE APRN, CNP
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
1363L00000XNurse Practitioner209019109IL
2363LF0000XFamily Nurse PractitionerF336152-1NY

General Provider Information

NPI Number : 1528399029
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIA C SHORE APRN, CNP
Provider Business Mailing Address
First Line : 211 E ONTARIO ST STE 700
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3281
Country : US
Telephone Number : 312-926-0001
Fax Number : 312-926-4588
Provider Business Practice Location Address
First Line : 211 E ONTARIO ST STE 700
Second Line :
City : CHICAGO
State : IL
Zip : 60611-3281
Country : US
Telephone Number : 312-926-0001
Fax Number : 312-926-4588
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/22/2010
Last Update Date : 08/14/2024

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Directions to “ JULIA C SHORE APRN, CNP” Practice Location

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