Provider Demographics
NPI:1043692726
Name:KATSNELSON, JULIA V (MD)
Entity Type:Individual
Prefix:DR
First Name:JULIA
Middle Name:V
Last Name:KATSNELSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:231 OLDE HALF DAY RD STE B
Mailing Address - Street 2:
Mailing Address - City:LINCOLNSHIRE
Mailing Address - State:IL
Mailing Address - Zip Code:60069-2931
Mailing Address - Country:US
Mailing Address - Phone:847-303-8900
Mailing Address - Fax:847-303-8989
Practice Address - Street 1:231 OLDE HALF DAY RD
Practice Address - Street 2:
Practice Address - City:LINCOLNSHIRE
Practice Address - State:IL
Practice Address - Zip Code:60069-2906
Practice Address - Country:US
Practice Address - Phone:847-303-8900
Practice Address - Fax:847-303-8989
Is Sole Proprietor?:No
Enumeration Date:2015-06-18
Last Update Date:2021-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036148719207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology