# JULIETA JOSON-LUNA MD SC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356673842
- **Authorized official:** JULIETA JOSON-LUNA (PRESIDENT)
- **Authorized official phone:** (773) 286-1464

## Contact information

- **Practice address:** 5906 W MONTROSE AVE, CHICAGO, IL 60634-1625
- **Practice address phone:** (773) 286-1464
- **Practice address fax:** (773) 286-4001
- **Mailing address:** 5906 W MONTROSE AVE, CHICAGO, IL 60634-1625
- **Mailing address phone:** (773) 286-1464
- **Mailing address fax:** (773) 286-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 036049534 | IL | Yes |

## Other

- **Enumeration date:** 02/08/2010
- **Last updated:** 02/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036049534 | — | IL |
| 01 | — | 1104991413 | NPI TYPE 1 | IL |