Individual
JULIE M STRIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
1200 N WESTMORELAND RD, LAKE FOREST, IL 60045-1601
(847) 234-6164
(847) 535-7840
Mailing address
PO BOX 64, LAKE BLUFF, IL 60044-0064
(847) 234-6164
(847) 535-7840
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004905313
BLUE CROSS BLUE SHIELD
IL
01
—
5020028
AETNA
—
Enumeration date
07/11/2006
Last updated
07/09/2007
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