Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 036-083508 | IL |
N | 2080P0203X | Pediatric Critical Care Doctor | 036-083508 | IL |
Y | 2080P0208X | Pediatric Infectious Diseases | 036083508 | IL |
NPI | 1598733974 |
---|---|
Provider Name | Julie D Wohrley |
First Address | Burr Ridge, IL 60527-7594 |
Second Address | Chicago, IL 60637-1447 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/03/2006 |
Last Update Date | 04/05/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036083508 | (05) | IL |
07215036 | BCBS (01) | IL |
IL01BC | JOHN DEERE (01) | IL |
W24263 | (02) | IL |