Provider Demographics
NPI:1720393820
Name:WINEBERG, JULIUS J (MD)
Entity Type:Individual
Prefix:
First Name:JULIUS
Middle Name:J
Last Name:WINEBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 W DIVERSEY PKWY
Mailing Address - Street 2:UNIT 1602
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-6262
Mailing Address - Country:US
Mailing Address - Phone:773-665-9090
Mailing Address - Fax:
Practice Address - Street 1:330 W DIVERSEY PKWY
Practice Address - Street 2:UNIT 1602
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-6262
Practice Address - Country:US
Practice Address - Phone:773-665-9090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-12
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-032274208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics