# DR. JULIA BLAIZE WILKINSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1679754642
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RC0000X | Cardiovascular Disease Physician | 036135153 | IL | — |
| 2086S0129X | Vascular Surgery Physician | 036135153 | IL | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | — | LA | — |

## Other

- **Enumeration date:** 11/19/2007
- **Last updated:** 01/16/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1007692 | — | LA |
| 01 | — | 206147 | MEDICARE GROUP PTAN | IL |
| 01 | — | F400163486 | MEDICARE INDIVIDUAL | IL |