Provider Demographics
NPI:1346736121
Name:BRIGGS, JULIA (SA)
Entity Type:Individual
Prefix:MS
First Name:JULIA
Middle Name:
Last Name:BRIGGS
Suffix:
Gender:F
Credentials:SA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29W371 CRABTREE LN
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-2649
Mailing Address - Country:US
Mailing Address - Phone:630-835-9413
Mailing Address - Fax:
Practice Address - Street 1:29W371 CRABTREE LN
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-2649
Practice Address - Country:US
Practice Address - Phone:630-835-9413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-05
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL238-000594246ZC0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246ZC0007XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherSurgical Assistant