Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2200X | Nurse Practitioner - Adult Health | 209012894 | IL |
NPI | 1013390491 |
---|---|
Provider Name | Julia Firlit Buesser |
First Address | Gurnee, IL 60031-3377 |
Second Address | Gurnee, IL 60031-3377 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2015 |
Last Update Date | 12/07/2019 |