Provider Demographics
NPI:1508818659
Name:SADOWSKI, JULITA (MD)
Entity Type:Individual
Prefix:DR
First Name:JULITA
Middle Name:
Last Name:SADOWSKI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6109 N NORTHWEST HWY
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60631-2127
Mailing Address - Country:US
Mailing Address - Phone:773-594-1109
Mailing Address - Fax:773-594-1162
Practice Address - Street 1:6109 N NORTHWEST HWY
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60631-2127
Practice Address - Country:US
Practice Address - Phone:773-594-1109
Practice Address - Fax:773-594-1162
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036075593207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILE18966Medicare UPIN