Provider Demographics
NPI:1033727912
Name:DI GIULIO, MARIA ANGELA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ANGELA
Last Name:DI GIULIO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8660 W CARMEN AVE
Mailing Address - Street 2:
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-2801
Mailing Address - Country:US
Mailing Address - Phone:312-834-5604
Mailing Address - Fax:
Practice Address - Street 1:8660 W CARMEN AVE
Practice Address - Street 2:
Practice Address - City:NORRIDGE
Practice Address - State:IL
Practice Address - Zip Code:60706-2801
Practice Address - Country:US
Practice Address - Phone:312-834-5604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-16
Last Update Date:2020-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician