Provider Demographics
NPI:1558084988
Name:BADOWSKI, JULIE (MS)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:BADOWSKI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:649 FRANCES AVE
Mailing Address - Street 2:
Mailing Address - City:LOVES PARK
Mailing Address - State:IL
Mailing Address - Zip Code:61111-5910
Mailing Address - Country:US
Mailing Address - Phone:815-566-7571
Mailing Address - Fax:
Practice Address - Street 1:649 FRANCES AVE
Practice Address - Street 2:
Practice Address - City:LOVES PARK
Practice Address - State:IL
Practice Address - Zip Code:61111-5910
Practice Address - Country:US
Practice Address - Phone:815-566-7571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-21
Last Update Date:2022-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program