Individual
JULIA E ECKERSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5359 W FULLERTON, CHICAGO, IL 60639
(773) 836-2785
(773) 836-7381
Mailing address
5359 W FULLERTON, CHICAGO, IL 60639
(773) 836-2785
(773) 836-7381
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036110660
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036110660
—
IL
Enumeration date
06/01/2006
Last updated
12/23/2019
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