Individual
JULIE ELIZABETH MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
225 E CHICAGO, 4 NE, CHICAGO, IL 60611-2605
(312) 227-3210
Mailing address
225 E CHICAGO, BOX 69, CHICAGO, IL 60611-2605
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209008875
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.008875
APN LICENSE
IL
Enumeration date
12/22/2011
Last updated
04/29/2026
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