Individual
JULIANNE RUTH WALIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
(312) 947-0100
Mailing address
727 W MADISON ST APT 4301, CHICAGO, IL 60661-2580
(574) 309-0402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007115
IL
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
07/06/2017
Last updated
08/12/2019
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