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Individual

JULIA C SHORE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, CNP

Contact information

Practice address
211 E ONTARIO ST STE 700, CHICAGO, IL 60611-3281
(312) 926-0001
(312) 926-4588
Mailing address
211 E ONTARIO ST STE 700, CHICAGO, IL 60611-3281
(312) 926-0001
(312) 926-4588

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209019109
IL
363LF0000X
Family Nurse Practitioner
Primary
F336152-1
NY

Other

Enumeration date
01/22/2010
Last updated
08/14/2024
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