MEDICARE: DR. JULIE A MCLAUGHLIN DC

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	111N00000X	Chiropractor	038336291	IL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972685824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JULIE A MCLAUGHLIN DC

Provider Business Mailing Address
First Line	:	900 NORTH SHORE DR
Second Line	:	SUITE 170
City	:	LAKE BLUFF
State	:	IL
Zip	:	60044-2243
Country	:	US
Telephone Number	:	847-234-2346
Fax Number	:	847-234-2839

Provider Business Practice Location Address
First Line	:	900 NORTH SHORE DR
Second Line	:	SUITE 170
City	:	LAKE BLUFF
State	:	IL
Zip	:	60044-2243
Country	:	US
Telephone Number	:	847-234-2346
Fax Number	:

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

Provider Enumeration Date	:	10/19/2006
Last Update Date	:	07/02/2013

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