Individual
JULIA MITKOVA MANIKATOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7499
(630) 527-3000
Mailing address
801 S WASHINGTON ST, NAPERVILLE, IL 60540-7499
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
41335689
IL
363L00000X
Nurse Practitioner
Primary
209027578
IL
Other
Enumeration date
05/17/2023
Last updated
07/19/2023
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