Individual
MRS. JULIE MUDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
(630) 719-4799
Mailing address
3815 HIGHLAND AVE, DOWNERS GROVE, IL 60515-1500
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
41238827
IL
363LA2200X
Adult Health Nurse Practitioner
277-002352
IL
Other
Enumeration date
10/08/2012
Last updated
01/22/2025
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