Provider Demographics
NPI:1558752055
Name:ARNOFF, JULIE
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:
Last Name:ARNOFF
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:OHOTZKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:13615 LAMON AVE
Mailing Address - Street 2:UNIT 506
Mailing Address - City:CRESTWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60445-3905
Mailing Address - Country:US
Mailing Address - Phone:708-638-9544
Mailing Address - Fax:
Practice Address - Street 1:13615 LAMON AVE
Practice Address - Street 2:UNIT 506
Practice Address - City:CRESTWOOD
Practice Address - State:IL
Practice Address - Zip Code:60445-3905
Practice Address - Country:US
Practice Address - Phone:708-638-9544
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-05
Last Update Date:2015-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1897291174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist