MEDICARE: ALLISON JULIA LUND

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
1	363LF0000X	Family Nurse Practitioner	209033595	IL

General Provider Information

NPI Number	:	1922975622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALLISON JULIA LUND

Provider Business Mailing Address
First Line	:	7201 S STONY ISLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-2806
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7201 S STONY ISLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60649-2806
Country	:	US
Telephone Number	:	773-639-1335
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/20/2025
Last Update Date	:	10/20/2025

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Directions to “ ALLISON JULIA LUND ” Practice Location

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