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Individual
MS. JULIE A WIRTH
Active
Individual
MS. JULIE A WIRTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AUDIOLOGIST
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147000912
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113326
HEALTHLINK PROV ID
—
01
—
203
BLUE CROSS PROV ID
IL
05
—
371119538401
—
IL
01
—
4117
HAMP PROVIDER ID
IL
01
—
7216
PERSONALCARE PROV ID
—
Enumeration date
04/18/2007
Last updated
02/20/2024
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