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Individual

DR. LAURA NICOLE DEJULIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AUD

Contact information

Practice address
2535 S KING DR, MOD B, CHICAGO, IL 60616
(312) 606-0672
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147001411
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
147001411
IL STATE LICENSE
IL
Enumeration date
11/28/2011
Last updated
07/16/2025
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