Individual
JUDITH L WULLER
Active
Individual
JUDITH L WULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
IL
207R00000X
Internal Medicine Physician
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0008232070
BLUECROSS BLUESHIELD
IL
01
—
06032182
BLUE CROSS BLUE SHIELD
IL
01
—
08232204
BLUE CROSS BLUE SHIELD
IL
01
—
08232205
BLUE CROSS BLUE SHIELD
IL
Enumeration date
07/12/2006
Last updated
10/19/2007
Update your record
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