Individual
MRS. JULIE A MALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
(217) 547-9236
Mailing address
1301 S KOKE MILL RD, SPRINGFIELD, IL 62711-9252
(217) 547-9100
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209000524
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005832071
BLUE CROSS BLUE SHIELD
IL
01
—
131595
HEALTHLINK
IL
01
—
5574560001
MEDICARE DME
IL
01
—
P00273354
RAILROAD MEDICARE
IL
Enumeration date
02/28/2006
Last updated
09/26/2025
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