Organization
JULIETA JOSON-LUNA MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIETA JOSON-LUNA (PRESIDENT)
(773) 286-1464
Entity
Organization
Contact information
Practice address
5906 W MONTROSE AVE, CHICAGO, IL 60634-1625
(773) 286-1464
(773) 286-4001
Mailing address
5906 W MONTROSE AVE, CHICAGO, IL 60634-1625
(773) 286-1464
(773) 286-4001
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
036049534
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036049534
—
IL
01
—
1104991413
NPI TYPE 1
IL
Enumeration date
02/08/2010
Last updated
02/08/2010
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