Individual
DR. JULIE SHAUNICE LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10417 S KARLOV AVE, OAK LAWN, IL 60453-4923
(773) 329-6698
Mailing address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1447
(773) 702-9678
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
036143202
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/15/2009
Last updated
07/28/2020
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