Individual
JULIA RUTH HALLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Contact information
Practice address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Mailing address
675 N SAINT CLAIR ST STE 19-100, CHICAGO, IL 60611-5969
(312) 664-3278
(312) 695-5774
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
041.541613
IL
163WC0200X
Critical Care Medicine Registered Nurse
RN.490237
OH
363L00000X
Nurse Practitioner
Primary
209032172
IL
363LA2100X
Acute Care Nurse Practitioner
209.032172
IL
Other
Enumeration date
12/03/2024
Last updated
06/24/2025
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