Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 064815 | GA |
N | 208000000X | Pediatrician | 58.002244 | OH |
Y | 2080P0208X | Pediatric Infectious Diseases | 036.136196 | IL |
NPI | 1417157074 |
---|---|
Provider Name | Dr. Julia C Rosebush |
First Address | Chicago, IL 60637-1425 |
Second Address | Chicago, IL 60637-1447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/07/2007 |
Last Update Date | 04/06/2018 |