Individual
TODD DEJULIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
901 MACARTHUR BLVD, MUNSTER, IN 46321-2901
(219) 836-1600
Mailing address
7750 SOLUTION CTR, CHICAGO, IL 60677-7007
(800) 288-8325
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01078012A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036137719
IL
Other
Enumeration date
06/18/2012
Last updated
04/03/2017
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