Individual
GINA JULIANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(312) 996-2000
Mailing address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(630) 315-6565
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
277000858
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041210961
—
IL
01
—
920540
MEDICARE (GROUP)
IL
01
—
F400092924
MEDICARE (INDIVIDUAL)
IL
Enumeration date
05/09/2007
Last updated
10/02/2025
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