Provider Demographics
NPI:1164744876
Name:ELLIOTT, JULIE K (MH, CLA, CD(DONA))
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:K
Last Name:ELLIOTT
Suffix:
Gender:F
Credentials:MH, CLA, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2305 ELISHA AVE
Mailing Address - Street 2:
Mailing Address - City:ZION
Mailing Address - State:IL
Mailing Address - Zip Code:60099-2394
Mailing Address - Country:US
Mailing Address - Phone:847-258-7233
Mailing Address - Fax:
Practice Address - Street 1:2305 ELISHA AVE
Practice Address - Street 2:
Practice Address - City:ZION
Practice Address - State:IL
Practice Address - Zip Code:60099-2394
Practice Address - Country:US
Practice Address - Phone:847-258-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-22
Last Update Date:2010-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula